Active NPI
Annette Riedel, M.ED., ED.S.
- Psychologist
- Holland, OH
National Provider Identifier
1194126912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- TU1007101
- Practice address
- 6900 Hall St
Holland, OH 43528-9485 - Phone
- (419) 867-5756
- Fax
- (419) 867-5736
- NPI assigned
- Sep 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | TU1007101 | OH | Primary |
Addresses
Primary practice location
6900 Hall St
Holland, OH 43528-9485
Mailing address
6900 Hall St
Holland, OH 43528-9485
Phone (419) 867-5756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TU1007101 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1194126912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 HALL ST",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289485",
"telephone_number": "419-867-5756",
"fax_number": "419-867-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 HALL ST",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289485",
"telephone_number": "419-867-5756",
"fax_number": "419-867-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDEL",
"first_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "M.ED., ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "TU1007101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.