Active NPI
Ashley Reda-McNamara, MA, PH.D.
- Clinical Psychologist
- Saratoga Springs, NY
National Provider Identifier
1063817138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024194
- Practice address
- 120 West Ave Ste 209
Saratoga Springs, NY 12866-6077 - Phone
- (518) 306-5655
- NPI assigned
- Oct 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Psychologist | 103TC0700X | 024194 | NY | Primary |
Addresses
Primary practice location
120 West Ave Ste 209
Saratoga Springs, NY 12866-6077
Mailing address
120 West Ave Ste 209
Saratoga Springs, NY 12866-6077
Phone (518) 306-5655
Other names 1
- Ashley Reda
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325000248 | NY | Practitioner - Clinical Psychologist | 7719394428 | Practice locations: Saratoga Springs, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
120 W Ave
Suite 209
Saratoga Springs, NY 12866-6077
Phone (518) 306-5655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024194 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1063817138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WEST AVE STE 209",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666077",
"telephone_number": "518-306-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WEST AVE STE 209",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666077",
"telephone_number": "518-306-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDA-MCNAMARA",
"first_name": "ASHLEY",
"credential": "MA, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "REDA",
"credential": "MA, PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.