Individual provider Active NPI

Ashley Reda-McNamara, MA, PH.D.

  • Clinical Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1063817138
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
024194 Issued in NY
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

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
024194NYMDSpecialist

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

Verify at the official NPI Registry.