Active NPI
Tiffany M Reid, BCBA
- Cognitive & Behavioral Psychologist
- East Brunswick, NJ
National Provider Identifier
1285890665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 1-06-3055
- Practice address
- 400 Cranbury Rd
Apt.4
East Brunswick, NJ 08816-3661 - Phone
- (732) 770-6763
- NPI assigned
- Aug 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 1-06-3055 | NJ | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 1-06-3055 | NJ |
Addresses
Primary practice location
400 Cranbury Rd
Apt.4
East Brunswick, NJ 08816-3661
Mailing address
400 Cranbury Rd
Apt.4
East Brunswick, NJ 08816-3661
Phone (732) 770-6763
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1285890665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CRANBURY RD",
"address_2": "APT.4",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163661",
"telephone_number": "732-770-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CRANBURY RD",
"address_2": "APT.4",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163661",
"telephone_number": "732-770-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "TIFFANY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NJ",
"license": "1-06-3055",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NJ",
"license": "1-06-3055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.