Healthcare Provider Details

I. General information

NPI: 1720977291
Provider Name (Legal Business Name): ADRIANNA RICHARDS PHD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3671 BUSINESS DR STE 110
SACRAMENTO CA
95820-2233
US

IV. Provider business mailing address

3671 BUSINESS DR STE 110
SACRAMENTO CA
95820-2233
US

V. Phone/Fax

Practice location:
  • Phone: 916-732-8966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: