Individual provider Active NPI

Theresa M Reed, PHD PC

  • Psychologist
  • Missoula, MT
National Provider Identifier
1356370761
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
346 Issued in MT
Practice address
119 W Front St
Ste 309
Missoula, MT 59802-4011
Phone
(406) 327-6663
Fax
(406) 327-9987
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 346 MT Primary

Addresses

Primary practice location

119 W Front St
Ste 309
Missoula, MT 59802-4011

Mailing address

119 W Front St
Ste 309
Missoula, MT 59802-4011
Phone (406) 327-6663

Other identifiers 3

IdentifierTypeStateIssuer
000052191OtherMTBC/BS
0492082MedicaidMT
52191OtherMTMEDICARE ADVANTAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000232 MT Practitioner - Clinical Psychologist 5193871895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

119 W Front
Suite 309
Missoula, MT 59802-4011

119 W Front St
Suite 309
Missoula, MT 59802-4011
Phone (406) 327-6663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa M Reed PHD PC CurrentSince Sep 1, 2009 Accepting new patients
Susan Day PHD LLC Psychologist Past Accepting new patients

Locations

119 W Front St
Ste 309
Missoula, MT 59802
Phone (406) 327-6663

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1356370761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W FRONT ST",
            "address_2": "STE 309",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024011",
            "telephone_number": "406-327-6663",
            "fax_number": "406-327-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W FRONT ST",
            "address_2": "STE 309",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024011",
            "telephone_number": "406-327-6663",
            "fax_number": "406-327-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "PHD PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000052191",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492082",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "52191",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.