Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649764713 Individual Practitioner Female Practitioner

Dr. Clarissa Marie Edge Richardson , PhD

Psychologist • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Clarissa Richardson, PhD is a registered healthcare professional specializing in Psychologist in Springfield, IL. Practice services are available at 1 OLD STATE CAPITOL PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Old State Capitol Plz

Springfield, IL 627011512

Telephone 2179531343
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Springfield, IL (1075 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-29
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071.010899

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 29, 2025

Registered at 1 OLD STATE CAPITOL PLZ, SPRINGFIELD, IL 627011512 (Tel: 2179531343)

📍
Updated Practice Location March 09, 2023

Registered at 201 E MORGAN ST, JACKSONVILLE, IL 626502587 (Tel: 2179531343)

📍
Updated Business Mailing Address March 09, 2023

Registered at 3975 LEACH RD, ROCHESTER, IL 625638061 (Tel: 2179531343)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2023

Psychologist (License #071.010899 in IL)

NPI Profile Active June 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2018

Registered at UNIVERSITY OF IDAHO STUDENT HEALTH CENTER 210, MOSCOW, ID 838440001 (Tel: 2088855081)

📍
Updated Business Mailing Address June 21, 2018

Registered at 875 PERIMETER DR # 210, MOSCOW, ID 838443043 (Tel: 2088855081)

👤
Provider Name / Credentials Updated June 21, 2018

Recorded as CLARISSA RICHARDSON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2018

Psychologist (License #PSY-203053 in ID)

🟢
Initial NPI Registration & Enumeration June 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649764713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2018
Last Update: May 29, 2025
Sole Proprietor: No

Mailing Address

3975 Leach Rd

Rochester, IL 625638061

Phone: 2179531343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.