M. Bernadette Reidy, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009225 Issued in NY

Practice address

37 French Rd
Rochester, NY 14618-3825

Phone

(585) 248-3997

Fax

(866) 810-2824

NPI assigned

May 30, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1316105901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FRENCH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183825",
            "telephone_number": "585-248-3997",
            "fax_number": "866-810-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FRENCH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183825",
            "telephone_number": "585-248-3997",
            "fax_number": "866-810-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "M. BERNADETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009225",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "009225",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "009225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11848344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrone Reid
• Timothy Reidlinger, MD
• Alexandra Reidmiller, RN
• Adrien W Reidy, PT, DPT
• James P Reidy, MD
• Krysta Reifenstein, RN
• Mark Benedict Reifenstein, MD
• Kevin D. Reilly
• Maggie E Reilly, PA
• Patrick Reilly

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.