MS. KIMBERLY ELIZABETH RICHARDS PSYD
NPI 1316192560
Psychologist - Clinical in Philadelphia, PA

Q: What is Kimberly Richards's NPI number?

The NPI number for Kimberly Richards is 1316192560. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Q: What is Kimberly Richards's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kimberly Richards enrolled in Medicare?

No. Kimberly Richards has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Richards was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2008Opted out of Medicare · through Dec 29, 2027

112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102(215) 568-0860(215) 568-0769 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Kimberly Elizabeth Richards Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY ELIZABETH RICHARDS PSYD (NPI 1316192560) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in New Hampshire (1504) and active in the NPI registry since December 2008. She has opted out of Medicare through December 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316192560

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. KIMBERLY ELIZABETH RICHARDSCredential: PSYD

Location Address112 N BROAD ST, RM 821Philadelphia, PA 19102-1512

Mailing Address141 Corliss LnColebrook, NH 03576-3206 · (603) 237-8336 · Fax (603) 237-4467

Phone(215) 568-0860

Fax(215) 568-0769

Sole ProprietorNo

Enumeration DateDecember 1, 2008

Last NPPES UpdateOctober 29, 2020

NPPES CertifiedOctober 29, 2020

✔ NPI 1316192560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NH · 1504

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

112 N BROAD ST, Philadelphia, PA 19102

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kimberly Elizabeth Richards Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2021 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2021

Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY LEHMAN

Counselor (Addiction (Substance Use Disorder))

112 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 568-0860

RICHARD A. BETHKE

Case Manager/Care Coordinator

112 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 568-0860

MS. TAMMIE DENISE HARLEY M.S. SPECIAL ED

Counselor

112 N BROAD ST
PHILA, PA 19102

Philadelphia County (215) 568-0860

JOHAN A GONZALEZ B.A.

Counselor

112 N BROAD ST
PHILA, PA 19102

Philadelphia County (215) 568-0860

MR. MARCUS B MATADI A.A.

Counselor

112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102

Philadelphia County (215) 568-0860

AMANDA GIGANTE

Counselor (Mental Health)

112 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 568-0860

MR. KYLE C PRINGLE B.S.

Counselor

112 N BROAD ST
PHILA, PA 19102

Philadelphia County (215) 568-0860

LESLIE BETH BECKER LCSW

Social Worker (Clinical)

112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102

Philadelphia County (215) 568-0860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Richards's NPI number?

The NPI number for Kimberly Richards is 1316192560. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Kimberly Richards located?

Kimberly Richards practices at 112 N Broad St Rm 821, Philadelphia, PA 19102. The listed phone number is (215) 568-0860.

What is Kimberly Richards's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kimberly Richards enrolled in Medicare?

No. Kimberly Richards has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberly Richards was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.