Active NPI
Michael J. Rainey, M.D.
- Psychiatry Physician
- Scranton, PA
National Provider Identifier
1063421873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 05003916L
- Practice address
- 326 Adams Ave
Scranton, PA 18503-1604 - Phone
- (570) 348-6100
- Fax
- (570) 969-8955
- NPI assigned
- Aug 8, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 05003916L | PA | Primary |
Addresses
Primary practice location
326 Adams Ave
Scranton, PA 18503-1604
Mailing address
326 Adams Ave
Scranton, PA 18503-1604
Phone (570) 348-6100
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05003916L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063421873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 ADAMS AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031604",
"telephone_number": "570-348-6100",
"fax_number": "570-969-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 ADAMS AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031604",
"telephone_number": "570-348-6100",
"fax_number": "570-969-8955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEY",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "05003916L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.