DR. MARK RICHARDSON PSY.D
NPI 1538529821
Psychologist - Clinical in Wilmington, DE

Active since February 29, 2016Opted out of Medicare · through Oct 1, 2027
1301 E 12TH ST, WILMINGTON, DE 19802(302) 429-7780 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Richardson Psy.d NPPES

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

DR. MARK RICHARDSON PSY.D (NPI 1538529821) is an individual clinical provider in Wilmington, Delaware, licensed in Delaware (B1-0000989) and active in the NPI registry since February 2016. He has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1538529821
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK RICHARDSONCredential: PSY.D
Location Address1301 E 12TH STWilmington, DE 19802-5315
Mailing Address1114 S Dupont Hwy, Suite 104Dover, DE 19901-4401
Sole ProprietorNo
Enumeration DateFebruary 29, 2016
NPI 1538529821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in DE · B1-0000989 Licensed in PA · PS017632
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.

1301 E 12TH ST, Wilmington, DE 19802

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. Mark Richardson Psy.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 October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1301 E 12TH ST
WILMINGTON, DE 19802
Psychologist (Clinical)
1301 E 12TH ST
WILMINGTON, DE 19802
Social Worker (Clinical)
1301 E 12TH ST
WILMINGTON, DE 19802
Registered Nurse
1301 E 12TH ST
WILMINGTON, DE 19802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538529821, enumerated as an "individual" on February 29, 2016.

The provider is located at 1301 E 12TH ST WILMINGTON, DE 19802 and the phone number is (302) 429-7780.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.