Active NPI
Fatma Al-Motassem Reda, MD
- Psychiatry Physician
- Eden Prairie, MN
National Provider Identifier
1043238934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24164
- Practice address
- 7800 Bailey Dr
Eden Prairie, MN 55347-1175 - Phone
- (952) 484-9006
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 24164 | MN | Primary |
Addresses
Primary practice location
7800 Bailey Dr
Eden Prairie, MN 55347-1175
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Counseling Assessment and Mediation Centers PLLC | Past | Accepting new patients | |
| Affiliated Counseling Center | Past | Accepting new patients | |
| Youable Emotional Health Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychologist
- Fridley, MN
- NPI 1194836064
-
- Psychologist
- Fridley, MN
- NPI 1649613837
-
- Community/Behavioral Health Agency
- Richfield, MN
- NPI 1386728228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563580800000",
"number": "1043238934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6210",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874996210",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 BAILEY DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471175",
"telephone_number": "952-484-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDA",
"first_name": "FATMA",
"middle_name": "AL-MOTASSEM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2019-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "24164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.