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MR. DOUGLASS RICHARDSON MSPSY, CADC III
NPI 1609346402
Day Training/Habilitation Specialist in Stockton, CA

Active since December 05, 2018
620 N AURORA ST STE 1, STOCKTON, CA 95202(209) 468-9370 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2025, Jul 22, 2024, Jul 17, 2024 and 5 more (8 updates tracked since 2018).

About Mr. Douglass Richardson Mspsy, Cadc Iii NPPES

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

MR. DOUGLASS RICHARDSON MSPSY, CADC III (NPI 1609346402) is an individual day training/habilitation specialist in Stockton, California, licensed in California (BII00640223) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1609346402
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMR. DOUGLASS RICHARDSONCredential: MSPSY, CADC III
Location Address620 N AURORA ST STE 1Stockton, CA 95202-2276
Mailing Address12935 Alcosta Blvd Unit 3882San Ramon, CA 94583-6181 · (209) 696-1125
Phone(209) 468-9370
Sole ProprietorYes
Enumeration DateDecember 5, 2018
Last NPPES UpdateApril 2, 20258 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1609346402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
License✔ Licensed in CA · BII00640223
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License BII00640223 (CA)
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License BII00640223 (CA)
620 N AURORA ST STE 1, Stockton, CA 95202
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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.

BRETT KELEHER
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
ADAM HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
ERRIN LOEURN
Day Training/Habilitation Specialist
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-9600
MRS. SHELLY D LAACK
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
STEVI PERRICHON
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
MR. JOSEPH CORDOVA
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-2332
DEMARCO MIXON
Day Training/Habilitation Specialist
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-9370
MRS. TINA JEANETTE VILLAGOMEZ
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 953-7302

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 Douglass Richardson's NPI number?

The NPI number for Douglass Richardson is 1609346402. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Douglass Richardson located?

Douglass Richardson practices at 620 N Aurora St Ste 1, Stockton, CA 95202. The listed phone number is (209) 468-9370.

What is Douglass Richardson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Douglass Richardson was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.