Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Richardson, MD

Individual provider Psychiatry Physician · NPI 1124179445

Justin Richardson, MD is a Psychiatry Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21 W 12th St Ste A
New York, NY 10011-8549 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 647-1667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 195082 (NY)

Record details

NPI number1124179445
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJuly 8, 2007

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