Active NPI
David Anthony Reedy, M.A.
- Cognitive & Behavioral Psychologist
- Marshalltown, IA
National Provider Identifier
1104166487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Practice address
- 30 W Main St
Suite 102
Marshalltown, IA 50158-4917 - Phone
- (319) 558-8985
- NPI assigned
- Feb 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
30 W Main St
Suite 102
Marshalltown, IA 50158-4917
Mailing address
PO Box 4
Van Horne, IA 52346-0004
Phone (319) 361-6529
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace C Mae Advocate Center, Inc | Past | Accepting new patients | |
| Grace C Mae Advocate Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Washington, IA
- NPI 1265879431
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1700018405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1104166487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "VAN HORNE",
"state": "IA",
"postal_code": "523460004",
"telephone_number": "319-361-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MAIN ST",
"address_2": "SUITE 102",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584917",
"telephone_number": "319-558-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDY",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.