Active NPI
Mary (Molly) Keenan Reid, PH.D.
- Clinical Psychologist
- Woodinville, WA
National Provider Identifier
1184739781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00001267
- Practice address
- 18500 156TH Ave NE Ste 202
Woodinville, WA 98072-4459 - Phone
- (425) 481-5700
- Fax
- (425) 481-2157
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00001267 | WA | Primary |
Addresses
Primary practice location
18500 156TH Ave NE Ste 202
Woodinville, WA 98072-4459
Mailing address
18500 156TH Ave NE Ste 202
Woodinville, WA 98072-4459
Phone (425) 481-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2014 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184739781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18500 156TH AVE NE STE 202",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980724459",
"telephone_number": "425-481-5700",
"fax_number": "425-481-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18500 156TH AVE NE STE 202",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980724459",
"telephone_number": "425-481-5700",
"fax_number": "425-481-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MARY (MOLLY)",
"middle_name": "KEENAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00001267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodinville, WA
- Rama Oskouian, DMD, PLLC (Woodinville Pediatric Dentistry)
- Manisha Ramdev, NP-C
- Taurell Reboulet, LMP
- Rediclinic of Wa, LLC
- Redmond Ridge Physical Therapy PLLC (IRG Physical Therapy of Woodinville)
- Ronn L Reimer, PHYSICAL THERAPIST
- Erin Reoyo
- Rich's, Inc. (Absolute Mobility Center)
- Rick Louis Lamarche (Woodinville Family Chiropractic)
- Bryn Riekstins, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.