Active NPI
Marvin Douglas Reed, PH.D.
- Clinical Psychologist
- Mason, OH
National Provider Identifier
1326189556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2347
- Practice address
- 7588 Central Parke Blvd Ste 310
Mason, OH 45040-6860 - Phone
- (513) 779-7400
- Fax
- (513) 779-7426
- NPI assigned
- Feb 9, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 2347 | OH | |
| Clinical Psychologist | 103TC0700X | 2347 | OH | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 2347 | OH |
Addresses
Primary practice location
7588 Central Parke Blvd Ste 310
Mason, OH 45040-6860
Mailing address
7588 Central Parke Blvd Ste 310
Mason, OH 45040-6860
Phone (513) 779-7400
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2347 | OH | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1326189556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7588 CENTRAL PARKE BLVD STE 310",
"city": "MASON",
"state": "OH",
"postal_code": "450406860",
"telephone_number": "513-779-7400",
"fax_number": "513-779-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7588 CENTRAL PARKE BLVD STE 310",
"city": "MASON",
"state": "OH",
"postal_code": "450406860",
"telephone_number": "513-779-7400",
"fax_number": "513-779-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "MARVIN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OH",
"license": "2347",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "2347",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "2347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.