Healthcare Provider Details

I. General information

NPI: 1417823857
Provider Name (Legal Business Name): AUDAX PSYCHOLOGY SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 S STEPHENSON AVE STE 214
IRON MOUNTAIN MI
49801-3458
US

IV. Provider business mailing address

PO BOX 277
IRON MOUNTAIN MI
49801-0277
US

V. Phone/Fax

Practice location:
  • Phone: 906-239-9557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK RICHARDSON SR.
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 906-221-5455