JENNIFER ANNE RICHARDSON (PSY.D.) – Clinical Psychologist, NPI 1164638896

JENNIFER ANNE RICHARDSON (PSY.D.) is a healthcare provider. based in Land o lakes, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY10020 (FL). The NPI Number for JENNIFER ANNE RICHARDSON (PSY.D.) is 1164638896

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANNE RICHARDSON (PSY.D.)
NPI
1164638896
Phone
Not provided
Address
20747 STERLINGTON DR
Enumeration Date
16 May 2007
Last Update Date
6 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7276885756
Graduation Year
2016 (10 years ago)
PAC ID
4688913056
Professional Enrollment ID
I20200723003429
Address ID
FL346384317LA20747DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for JENNIFER ANNE RICHARDSON (PSY.D.)

  • 20747, Sterlington Drive, Land O' Lakes, Pasco County, Florida, 34638, United States

    LAND O LAKES, FL 346384317

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200723003429IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34638)

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Reviews

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Frequently asked questions

What number should I use to identify JENNIFER ANNE RICHARDSON (PSY.D.) for billing?
Administrative and clinical systems typically use NPI 1164638896 for JENNIFER ANNE RICHARDSON (PSY.D.).
Is JENNIFER ANNE RICHARDSON (PSY.D.) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER ANNE RICHARDSON (PSY.D.) as active.
How should patients interpret JENNIFER ANNE RICHARDSON (PSY.D.)'s specialty?
The extract shows Clinical Psychologist for JENNIFER ANNE RICHARDSON (PSY.D.). Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER ANNE RICHARDSON (PSY.D.)?
The directory associates JENNIFER ANNE RICHARDSON (PSY.D.) with Land O Lakes, Florida. Check all listed addresses for suites or satellite offices.
Who maintains JENNIFER ANNE RICHARDSON (PSY.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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