Rathidevi Reddy, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

J5874 Issued in TX

Practice address

16901 Dallas Pkwy Ste 106
Addison, TX 75001

Phone

(214) 369-5522

Fax

(214) 369-5327

NPI assigned

Jun 3, 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 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family and Child Guidance CentersGroup PAC ID 1153413711, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family and Child Guidance Centers

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1811062367
  Medicare reassignment Care Compare group
• Collin County Mental Health Mental Retardation Center

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1871576835

  Child & Adolescent Psychiatry

  Medicare reassignment NPD
• North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1457720120

  Child & Adolescent Psychiatry

  Medicare reassignment NPD
• North Texas Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1407488463

  Child & Adolescent Psychiatry

  NPD (past)
• Rekha Pole Associates P a

  • Child & Adolescent Psychiatry Physician
  • Addison, TX
  • NPI 1225369226
  NPD (past)
• Robert W Benigar Jr

  • Psychiatry Physician
  • Addison, TX
  • NPI 1992128425
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1265470033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 DALLAS PKWY STE 106",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015236",
            "telephone_number": "214-369-5522",
            "fax_number": "214-369-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 DALLAS PKWY STE 106",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "214-369-5522",
            "fax_number": "214-369-5327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7308 Alma Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750253568",
            "country_code": "US",
            "telephone_number": "972-727-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RATHIDEVI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J5874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12758108",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Recendiz
• Red Granite Neuromonitoring LLC
• Red Maple Holdings, Inc
• Red River Neurodiagnostics, LLC
• Prathyusha Kethi Reddy, M.D.
• Tyler Tymel Reed, PTA
• Kennedy Reeder
• Bailey Reeves
• Aaron Reifschneider, CNIM
• Julie Lynn Reihsen, MD

• Child & Adolescent Psychiatry Physician in Addison, TX
• Providers in Addison, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.