Individual provider Active NPI

Elisabeth Ann Reading, PH.D.

  • Clinical Psychologist
  • Panama City Beach, FL
National Provider Identifier
1053584102
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY003607 Issued in FL
Practice address
1813 Thomas Dr
Suite 9
Panama City Beach, FL 32408-5834
Phone
(850) 866-1614
Fax
(850) 236-1707
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY003607 FL Primary

Addresses

Primary practice location

1813 Thomas Dr
Suite 9
Panama City Beach, FL 32408-5834

Mailing address

1813 Thomas Dr
Suite 9
Panama City Beach, FL 32408-5834
Phone (850) 866-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY003607FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1053584102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 THOMAS DR",
            "address_2": "SUITE 9",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324085834",
            "telephone_number": "850-866-1614",
            "fax_number": "850-236-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 THOMAS DR",
            "address_2": "SUITE 9",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324085834",
            "telephone_number": "850-866-1614",
            "fax_number": "850-236-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READING",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY003607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.