Dr. Richard J Dackow , PhD
Psychologist • Riverhead, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Dackow has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Richard Dackow, PhD was a registered Psychologist practicing in Riverhead, NY. Throughout an active medical career spanning 18 years, Dr. Dackow provided care at the practice location at 230 W MAIN ST until profile deactivation on 2024-02-14.
Historical Medicare Part B clinical services included psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
230 W Main St
Riverhead, NY 119012841
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist in Riverhead, NY
Practicing in Riverhead, NY (5379 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
90791
Psychiatric diagnostic evaluation
|
11 | 11 | $254.55 | $152.69 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103T00000X
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
Record deactivated on February 14, 2024
Registered at 15 DONALD ST, EASTPORT, NY 119411401 (Tel: 5163304545)
NPI status registered as active in NPPES database
Registered at 230 W MAIN ST, RIVERHEAD, NY 119012841 (Tel: 6313697287)
Registered at 230 W MAIN ST, RIVERHEAD, NY 119012841 (Tel: 6313697287)
Recorded as RICHARD DACKOW, PH.D.
Psychologist (License #011170 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
230 W Main St
Riverhead, NY 119012841
Phone: 6313697287
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