Active NPI
Ryan N Reed, PH.D.
- Counseling Psychologist
- Twentynine Palms, CA
National Provider Identifier
1003055849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0810005632
- Practice address
- 7Marregt McAgcc 29 Palms
Twentynine Palms, CA 92278 - Phone
- (619) 838-4260
- NPI assigned
- Feb 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0810005632 | VA | Primary |
Addresses
Primary practice location
7Marregt McAgcc 29 Palms
Twentynine Palms, CA 92278
Mailing address
7Marregt McAgcc 29 Palms
Twentynine Palms, CA 92278
Phone (619) 838-4260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810005632 | Other | VA | PSYCHOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1003055849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7MARREGT MCAGCC 29 PALMS",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "619-838-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7MARREGT MCAGCC 29 PALMS",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "619-838-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "RYAN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2021-09-13",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VA",
"license": "0810005632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "0810005632",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.