Lula F Reams

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2207-057 Issued in WI

Practice address

2645 N Mayfair Rd
Suite 120
Wauwatosa, WI 53226-1304

Phone

(414) 302-9200

Fax

(414) 727-6555

NPI assigned

Oct 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144310491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N MAYFAIR RD",
            "address_2": "SUITE 120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N MAYFAIR RD",
            "address_2": "SUITE 120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261304",
            "telephone_number": "414-302-9200",
            "fax_number": "414-727-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAMS",
        "first_name": "LULA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2207-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39628000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN PSYCHOLOGIST",
            "identifier": "2207-057",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY THERAP",
            "identifier": "171-124",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venkatarama V Rao, MD
• Mary Ann Rasku, MD
• Catherine F Raster, BCBA
• Marcy Raupp, OT
• Ravi Gupta,M.D.,S.C.
• Abby Rechtin, R.D.
• Red Stone Medical SC
• Maureen A Reddington, NP
• Brenna Redemann, MD
• Elizabeth Redford

• Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.