Individual provider Active NPI

Debra Kay Riedinger, M.A., LLP

  • Cognitive & Behavioral Psychologist
  • Midland, MI
National Provider Identifier
1063562429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
6301005762 Issued in MI
Practice address
1108 Ashman St
Midland, MI 48640-5470
Phone
(989) 832-9161
Fax
(989) 832-8813
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 6301005762 MI Primary

Addresses

Primary practice location

1108 Ashman St
Midland, MI 48640-5470

Mailing address

1108 Ashman St
Midland, MI 48640-5470
Phone (989) 832-9161

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301005762MIMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Associates of Mid Michigan PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063562429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ASHMAN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405470",
            "telephone_number": "989-832-9161",
            "fax_number": "989-832-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ASHMAN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405470",
            "telephone_number": "989-832-9161",
            "fax_number": "989-832-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDINGER",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.A., LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301005762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

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.

Verify at the official NPI Registry.