Jessica Ruth Reed, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6456 Issued in NC

Practice address

4904 Waters Edge Dr Ste 260
Raleigh, NC 27606-8162

Phone

(919) 307-9826

NPI assigned

Jul 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Magnolia Psychological Services, PLLC

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1497515233
  NPD Authorized official

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1336524057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BOLIN CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032274",
            "telephone_number": "606-331-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 WATERS EDGE DR STE 260",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068162",
            "telephone_number": "919-307-9826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Bolin Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276032274",
            "country_code": "US",
            "telephone_number": "606-331-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "JESSICA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "33903",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawnyelle Reece
• Aaron Reed
• Andrea Victoria Reed, RN
• Caleb Reed
• Destiney Reed
• John G Reed, RPH
• Juanita Reed, MSN, RN, CRNP
• Lilia O Reed, LMBT #14818
• Megan Mackinlay Reed, MS, OTR/L
• Michael J Reed, PSYD, LP, HSP-P

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.