Melissa Ann Reid, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36359 Issued in TX

Practice address

4100 W 15TH St
Suite 204
Plano, TX 75093-5803

Phone

(972) 985-1100

Fax

(972) 985-1105

NPI assigned

Dec 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cook Children's Medical Center

  • Clinical Child & Adolescent Psychologist
  • Fort Worth, TX
  • NPI 1710702907
  Medicare reassignment NPD
• Cook Children's Medical Center

  dba Teddy Bear Transport

  • Air Ambulance
  • Fort Worth, TX
  • NPI 1215907530
  NPD

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1093103889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "SUITE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935803",
            "telephone_number": "972-985-1100",
            "fax_number": "972-985-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "SUITE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935803",
            "telephone_number": "972-985-1100",
            "fax_number": "972-985-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36359",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "34426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ziaur Rehman, CCC-SLP
• Obeidurahman Faiz Rehmani, M.D.
• Rehoboth
• Lisa Reichardt, AGACNP
• Lisa Mary Reid, MSN, APRN, FNP-C
• Cheryl Jeanne Reifer, PH.D., RD, LD
• Lionel Reiman, M.D.
• Steven Robert Reiman, MD
• Diana Reimann, PA-C
• Garrett James Reinhardt

• Psychologist in Plano, TX
• Providers in Plano, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.