Adam Michael Reid, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

10978-PY-PR Issued in MA

Practice address

22 Mill St Ste 108
Arlington, MA 02476-4738

Phone

(352) 246-0095

NPI assigned

Jul 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Cbteam LLC

  • Clinical Psychologist
  • Lexington, MA
  • NPI 1669074621
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1124540190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILL ST STE 108",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764738",
            "telephone_number": "352-246-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST STE 108",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764738",
            "telephone_number": "352-246-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "10978-PY-PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea N Razi, LICSW
• Terry Ellis Real, LICSW
• Rebecca S Johnston PHD LLC
• Kenneth M. Reeves, PH.D.
• Susan Jane Regan, PSY.D.
• Reimagined Stories Counseling, PLLC
• Michael Lee Reison, PH.D., MSW, LICSW
• Resilient Beginnings PLLC
• Resolve Physical Therapy LLC
• Revivo Massage LLC

• Clinical Child & Adolescent Psychologist in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.