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Richard Thackston

Psychologist, School in Clifton Park, NY. Individual provider (NPI-1).

NPI number1255700290
StatusActive
Last updated in NPPESSep 21, 2015

Details

NPI
1255700290
Entity type
Individual (NPI-1)
Name
Richard Thackston
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2015
Last updated
Sep 21, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, School–NYYes

Practice location

515 Moe Rd
Clifton Park, NY 12065-3821

Phone 518-280-4294 · Fax 518-280-4297

Mailing address

515 Moe Rd
Clifton Park, NY 12065-3821

Phone 518-280-4294 · Fax 518-280-4297

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other School Psychologist providers in Clifton Park, NY

All 12 School Psychologist providers in Clifton Park · All 1,015 providers in Clifton Park

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