Healthcare Provider Details
I. General information
NPI: 1518233600
Provider Name (Legal Business Name): THOMAS MICHAEL RICART MD,PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/22/2012
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
252 COUNTY ROAD 601
BELLE MEAD NJ
08502-3923
US
IV. Provider business mailing address
1028 MAYFLOWER CT
MARTINSVILLE NJ
08836-2324
US
V. Phone/Fax
- Phone: 908-281-1455
- Fax: 908-281-1321
- Phone: 856-952-1666
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 25MA10098100 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 25MA10098100 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 25MA10098100 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: