Active NPI
Emily Stice Reeder
- Marriage & Family Therapist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90327
- Practice address
- 3164 Condo CT
Santa Rosa, CA 95403-2557 - Phone
- (707) 360-1500
- NPI assigned
- Dec 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 90327 | CA | Primary |
Addresses
Primary practice location
3164 Condo CT
Santa Rosa, CA 95403-2557
Mailing address
3164 Condo CT
Santa Rosa, CA 95403-2557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90327 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memory Check Psychological Services, a Professional Corporation | Current | Accepting new patients |
Locations
5838 Edison Pl
Carlsbad, CA 92008
Phone (562) 522-2345
5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664
4929 Wilshire Blvd
Ste 510
Los Angeles, CA 90010
Phone (562) 904-3999
348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496
7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400
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.
-
- Clinical Psychologist
- Carlsbad, CA
- NPI 1912184219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1124363973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3164 CONDO CT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3164 CONDO CT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032557",
"telephone_number": "707-360-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "EMILY",
"middle_name": "STICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.