Active NPI
Andrew J Reed, PH.D.
- Clinical Psychologist
- Evansville, IN
National Provider Identifier
1194788133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040384
- Practice address
- 6221 Physicians CT
Evansville, IN 47715-4031 - Phone
- (812) 454-5457
- Fax
- (812) 471-9282
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- 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 | 20040384 | IN | Primary |
Addresses
Primary practice location
6221 Physicians CT
Evansville, IN 47715-4031
Mailing address
PO Box 15040
Evansville, IN 47716-0040
Phone (812) 476-1367
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680014742 | Other | IN | RR MCARE PRIVATE PRACTICE |
| 100447430A | Medicaid | IN | |
| 89000459 | Medicaid | KY | |
| 360003673 | Other | IN | RR MCARE THERAPY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Associates Inc | Clinical | Past | Accepting new patients |
Interoperability endpoints
- andrew.reed.1@9357.direct.athenahealth.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1194788133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15040",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477160040",
"telephone_number": "812-476-1367",
"fax_number": "812-477-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 PHYSICIANS CT",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154031",
"telephone_number": "812-454-5457",
"fax_number": "812-471-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE PRIVATE PRACTICE",
"identifier": "680014742",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100447430A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89000459",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE THERAPY",
"identifier": "360003673",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.