Active NPI
Plymouth Psychiatric Associates PC
- Psychiatry Physician
- Plymouth Meeting, PA
National Provider Identifier
1124201207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PLYMOUTH PSYCHIATRIC ASSOCIATES PC
- Practice address
- 1041 Germantown Pike
Plymouth Meeting, PA 19462-2449 - Phone
- (610) 270-0700
- Fax
- (610) 270-0202
- NPI assigned
- Dec 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Theresa Reis, M.D,
- Title
- President
- Phone
- (610) 270-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PA | ||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1041 Germantown Pike
Plymouth Meeting, PA 19462-2449
Mailing address
1041 Germantown Pike
Plymouth Meeting, PA 19462-2449
Phone (610) 270-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1041 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 270-0700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Plymouth Meeting, PA
- NPI 1124195680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1124201207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 GERMANTOWN PIKE",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622449",
"telephone_number": "610-270-0700",
"fax_number": "610-270-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 GERMANTOWN PIKE",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622449",
"telephone_number": "610-270-0700",
"fax_number": "610-270-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLYMOUTH PSYCHIATRIC ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "REIS",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "THERESA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-270-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D,"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.