Reid Whiteside, PH.D., P.C.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

1507 Issued in NC

Legal business name

REID WHITESIDE, PH.D., P.C.

Practice address

1616 Evans Rd Ste 202
Cary, NC 27513

Phone

(919) 677-8700

Fax

(919) 651-1007

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Reid Whiteside, PH.D.

Title

Owner

Phone

(919) 677-8700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1356757918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 EVANS RD STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-677-8700",
            "fax_number": "919-651-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 EVANS RD STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-677-8700",
            "fax_number": "919-651-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID WHITESIDE, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "REID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-677-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Psychologist in Cary, NC
• Providers in Cary, NC by specialty
• Health Service Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.