Emily Bridget-Polidore Reese, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022132 Issued in NY

Practice address

11 Jay St Apt 3
New York, NY 10013-2847

Phone

(646) 327-9292

NPI assigned

Apr 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1366062440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JAY ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132847",
            "telephone_number": "646-327-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JAY ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132847",
            "telephone_number": "646-327-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "EMILY",
        "middle_name": "BRIDGET-POLIDORE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drive.google.com/drive/u/1/my-drive",
            "affiliation": "N",
            "endpointDescription": "Private Google Drive",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "New York",
            "address_1": "11 Jay St Apt 3",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100132847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taniya Reehal
• Reel Option Cap LLC
• Ilene Michele Reeman, M.D.
• Michael Reens, CRNA
• Jacob Louis Reep, MD
• Erin Reese, NP
• Jennifer Reese
• Jennifer E Reese
• Madison Reese, PA-C
• Marcus Lee Reese, LMSW

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.