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DR. RICHARD LEE VICKERS PH.D.
NPI 1366525628
Psychologist - Clinical in Great Neck, NY

Active since October 23, 2006Opted out of Medicare · through Apr 1, 2028
45 N STATION PLZ, SUITE 311, GREAT NECK, NY 11021(516) 671-7553(516) 676-6362 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Lee Vickers Ph.d. NPPES

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

DR. RICHARD LEE VICKERS PH.D. (NPI 1366525628) is an individual clinical provider in Great Neck, New York, licensed in New York (004874) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366525628
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RICHARD LEE VICKERSCredential: PH.D.
Location Address45 N STATION PLZ, SUITE 311Great Neck, NY 11021-5011
Mailing Address45 N Station Plz, Suite 311Great Neck, NY 11021-5011 · (516) 671-7553 · Fax (516) 676-6362
Phone(516) 671-7553
Fax(516) 676-6362
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366525628 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 NY · 004874
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.
45 N STATION PLZ, Great Neck, NY 11021
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Other Identifiers 1

Medicare ID-Type UnspecifiedV13021NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard Lee Vickers Ph.d. 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 April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-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 11021 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

YAEL SHAYNE LCSW-R
Social Worker (Clinical)
45 N STATION PLZ, SUITE 305
GREAT NECK, NY 11021
Nassau County (516) 382-1145
PAUL M WEINHOLD PH.D.
Psychologist (Clinical)
45 N STATION PLZ, SUITE 307
GREAT NECK, NY 11021
Nassau County (516) 466-8330
MERY ARIAS OTR/L
Occupational Therapist
45 N STATION PLZ
GREAT NECK, NY 11021
Nassau County (516) 482-2650
DAVID PETER BROSS M.D.
Psychiatry & Neurology (Psychiatry)
45 N STATION PLZ, STE. 210
GREAT NECK, NY 11021
Nassau County (516) 466-9714
HERMAN M DAVIDOVICZ & STUART ROTHMAN PTR
Clinical Neuropsychologist
45 N STATION PLZ, ROOM 305
GREAT NECK, NY 11021
Nassau County (516) 487-4466
DR. KAY HALKINS VICKERS PH.D.
Psychologist (Clinical)
45 N STATION PLZ, SUITE311
GREAT NECK, NY 11021
Nassau County (515) 482-4548
DR. STUART ROTHMAN PH.D.
Clinical Neuropsychologist
45 N STATION PLZ
GREAT NECK, NY 11021
Nassau County (516) 487-4466
DR. TRACY ROBIN GROSSMAN PH.D.
Psychologist (Clinical)
45 N STATION PLZ
GREAT NECK, NY 11021
Nassau County (516) 466-2141

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 Richard Vickers's NPI number?

The NPI number for Richard Vickers is 1366525628. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Richard Vickers located?

Richard Vickers practices at 45 N Station Plz Suite 311, Great Neck, NY 11021. The listed phone number is (516) 671-7553.

What is Richard Vickers's specialty?

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

Is Richard Vickers enrolled in Medicare?

No. Richard Vickers has opted out of Medicare through April 1, 2028. 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 Richard Vickers was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.