Michael Gale Reeser II, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

265760 Issued in KY

Practice address

34 Erlanger Rd.
Erlanger, KY 41018

Phone

(859) 341-5782

Fax

(859) 341-5783

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Critical Stress & Wellness Center, LLC

  • Psychologist
  • Erlanger, KY
  • NPI 1538749916
  NPD
• Connor and Associates

  • Clinical Psychologist
  • Erlanger, KY
  • NPI 1417093915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1033619986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ERLANGER RD.",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "859-341-5782",
            "fax_number": "859-341-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 ERLANGER RD.",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "859-341-5782",
            "fax_number": "859-341-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESER",
        "first_name": "MICHAEL",
        "middle_name": "GALE",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "265760",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "265760",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "265760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of West Virginia Medical, Medical Corporation
• Brooke Prince-Slocum, LCSW
• David Puetz, PT, DPT
• Vivekananda Reddy Rachamallu, MD
• Natalie A Ramirez, DPT
• Samantha K Reeser, PSY.D.
• Jane Lorraine Remillard, L.P.C.C.
• Respiratory Medical Solutions
• Annette Reynolds, M.D.
• Lisa Rickels, APRN

• Clinical Psychologist in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.