Rediger Psychiatric Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

159462 Issued in MA

Legal business name

REDIGER PSYCHIATRIC SERVICES LLC

Practice address

235 N Pearl St
Brockton, MA 02301-1794

Phone

(508) 588-4000

NPI assigned

Jan 21, 2009

Last updated

Apr 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D. Rediger, M.D.

Title

Psychiatrist

Phone

(774) 419-1017

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iva Jandova, M.D.

  • Child & Adolescent Psychiatry Physician
  • Dorchester, MA
  • NPI 1801854435
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1326286873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-588-4000",
            "fax_number": "508-894-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-588-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIGER PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "REDIGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "774-419-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MA",
            "license": "170600",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "133760",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "159462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1326286873",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR9410",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magalie Perrin Rebecca
• Vivian Rebelo, OTR
• Richard G Recchio, MD
• Sofia Pozoukidis Reddy, MSW LICSW
• Vasantha G Reddy, MD
• Jessica Redon, MSN, FNP-BC
• Rheanna Reece
• Dianna Marie Reed, M.ED.
• Elizabeth Anne Reed
• Maureen Ann Reed

• Psychiatry Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.