Active NPI
Daniela Reid, MD
- Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34764
- Practice address
- 3540 E Baseline Rd Ste 150
Phoenix, AZ 85042-9630 - Phone
- (602) 323-3000
- Fax
- (602) 243-5390
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 34764 | AZ | |
| Psychiatry Physician | 2084P0800X | 34764 | AZ | Primary |
Addresses
Primary practice location
3540 E Baseline Rd Ste 150
Phoenix, AZ 85042-9630
Mailing address
22618 N 70TH Dr
Glendale, AZ 85310-5928
Phone (623) 478-2870
Other practice location 1
159 W Wickenburg Way
Wickenburg, AZ 85390-2265
Phone (928) 668-0711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 997950 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34764 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Community Intervention Associates, Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Lifewell Behavioral Wellness | Current | Accepting new patients | |
| Community Intervention Assciates, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Community Intervention Associates, Inc | Current | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| St Lukes Behavioral Hospital LP | Past | Accepting new patients | |
| Gatehouse Therapeutic Health Services | Past | Accepting new patients |
Locations
275 W Continental Rd
Ste 141
Green Valley, AZ 85622
Phone (520) 400-9229
275 W Continental Rd
Green Valley, AZ 85622
Phone (520) 625-4401
6915 E Main St
Ste 200
Mesa, AZ 85207
1516 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-5319
202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404
2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331
5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000
3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357
2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436
Interoperability endpoints
- daniela.reid.p1@direct.lifewell.nextgenshare.com
Organizations & group practices 10
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.
-
- Community/Behavioral Health Agency
- Bisbee, AZ
- NPI 1518250620
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1417050337
-
- Community/Behavioral Health Agency
- Parker, AZ
- NPI 1144961152
-
- Community/Behavioral Health Agency
- San Luis, AZ
- NPI 1013239136
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Surgery Physician
- Phoenix, AZ
- NPI 1619200722
-
- Substance Abuse Rehabilitation Facility
- Wickenburg, AZ
- NPI 1609184050
-
- Psychiatric Hospital
- Phoenix, AZ
- NPI 1306870910
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1053467571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22618 N 70TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853105928",
"telephone_number": "623-478-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 E BASELINE RD STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850429630",
"telephone_number": "602-323-3000",
"fax_number": "602-243-5390"
}
],
"practiceLocations": [
{
"address_1": "159 W Wickenburg Way",
"address_purpose": "LOCATION",
"city": "Wickenburg",
"state": "AZ",
"postal_code": "853902265",
"country_code": "US",
"telephone_number": "928-668-0711",
"fax_number": "928-684-6852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REID",
"first_name": "DANIELA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "AZ",
"license": "34764",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "34764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "997950",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.