STEPHEN CLARK RICHARDSON (D.O.) – Psychiatry Physician, NPI 1639523400

STEPHEN CLARK RICHARDSON (D.O.) is a healthcare provider. based in Pensacola, Florida. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. OS16888 (FL). The NPI Number for STEPHEN CLARK RICHARDSON (D.O.) is 1639523400

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN CLARK RICHARDSON (D.O.)
NPI
1639523400
Phone
(850) 469-3500
Address
1221 W LAKEVIEW AVE
Enumeration Date
19 April 2016
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8504345033
Graduation Year
2016 (10 years ago)
PAC ID
1153617782
Group Practice PAC ID
1052388014
Professional Enrollment ID
I20201104001645
Address ID
FL325012608PE1120XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Loading map...

Provider Addresses for STEPHEN CLARK RICHARDSON (D.O.)

  • 1221, West Lakeview Avenue, Pensacola, Escambia County, Florida, 32501, United States

    PENSACOLA, FL 325011836

    Phone: (850) 469-3500

    Fax: (850) 595-1400

    Type: Location

  • 1221 W Lakeview Ave

    Pensacola, FL 325011836

    Phone: (850) 469-3500

    Fax: (850) 595-1400

    Type: Location

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone: (801) 352-9500

    Type: Mailing

  • 305 CORDAY ST

    PENSACOLA, FL 325032214

    Phone: (850) 908-2315

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,670.

Total Amount is formed as General ($1,670) + Research ($0) + Ownership ($0) = $1,670.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($299).

Total Amount

$1,670

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-04

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
I20201104001645IPsychiatryFLTBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes26258$0
99205New patient office or other outpatient visit, 60-74 minutes3131$0
90833Psychotherapy with evaluation and management visit, 30 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 32501)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052388014View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistLA
-FL
Clinical Social WorkerFL
-FL
Mental Health CounselorFL
Mental Health CounselorFL
P S Y C H I A T R YFL
P S Y C H I A T R YAL
Clinical Social WorkerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is STEPHEN CLARK RICHARDSON (D.O.) identified in CMS data?
CMS-hosted NPPES data lists STEPHEN CLARK RICHARDSON (D.O.) with NPI 1639523400.
Does the file indicate STEPHEN CLARK RICHARDSON (D.O.) is practicing under active NPI?
Directory data currently reports STEPHEN CLARK RICHARDSON (D.O.) as active.
What is STEPHEN CLARK RICHARDSON (D.O.) best known for clinically?
Directory data describes STEPHEN CLARK RICHARDSON (D.O.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is STEPHEN CLARK RICHARDSON (D.O.) based?
STEPHEN CLARK RICHARDSON (D.O.) is tied to Pensacola, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

Similar Providers

315 SE 14th St
NPI: 1104829274

MR. HENRY HARRIS DOHN (MD)

Psychiatry Physician
5190, Bayou Boulevard, Pensacola, Escambia County, Florida, 32503, United States
NPI: 1407857956

DR. MYRNA BOBET (M.D.)

Psychiatry Physician
1120, North Palafox Street, North Hill, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1679575542

DR. BRYAN VYVERBERG (M.D.)

Psychiatry Physician
15190, Community Road, Gulfport, Harrison County, Mississippi, 39503, United States
NPI: 1740272723

MR. JOHN C FETZER (MD)

Psychiatry Physician
2191 E JOHNSON AVE
NPI: 1801881040

KABERI SAMANTA (MD)

Psychiatry Physician
1221, West Lakeview Avenue, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1093700973

DR. MYRON ALMOND (MD)

Psychiatry Physician
1221, West Lakeview Avenue, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1699760405

YIRA VAN DER LINDE (MD)

Psychiatry Physician
1221, East de Soto Street, East Hill, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1770578585

MR. RAUL JIMENEZ (MD)

Psychiatry Physician
2191 E JOHNSON AVE
NPI: 1588659395