Individual provider Active NPI

Alaycia Deneen Reid, PH.D.

  • Counseling Psychologist
  • Decatur, GA
National Provider Identifier
1073807608
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY002761 Issued in GA
Practice address
315 W Ponce de Leon Ave
Decatur Court, Suite 552
Decatur, GA 30030-2400
Phone
(404) 906-5330
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY002761 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave
Decatur Court, Suite 552
Decatur, GA 30030-2400

Mailing address

315 W Ponce de Leon Ave
Decatur Court, Suite 552
Decatur, GA 30030-2400
Phone (404) 906-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120803000674 GA Practitioner - Clinical Psychologist 2466608617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1123 Clairemont Ave
Decatur, GA 30030-1207
Phone (404) 906-5330

1123 Clairmont Rd
Decatur, GA 30030-1207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Counseling & Consultation Services LLC CurrentSince Aug 1, 2012 Accepting new patients

Locations

2785 Lawrenceville Hwy
Ste 108
Decatur, GA 30033
Phone (404) 906-5330

1123 Clairemont Ave
Decatur, GA 30030
Phone (404) 905-5858

315 W Ponce de Leon Ave
Ste 552
Decatur, GA 30030
Phone (404) 378-9444

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1073807608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE",
            "address_2": "DECATUR COURT, SUITE 552",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302400",
            "telephone_number": "404-906-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE",
            "address_2": "DECATUR COURT, SUITE 552",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302400",
            "telephone_number": "404-906-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ALAYCIA",
        "middle_name": "DENEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY002761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.