Active NPI
Jessica Grace Reid
- Clinical Psychologist
- Warwick, RI
National Provider Identifier
1376952317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS01877
- Practice address
- 400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111 - Phone
- (401) 349-3131
- Fax
- (401) 921-5109
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS01877 | RI | Primary |
Addresses
Primary practice location
400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111
Mailing address
400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111
Phone (013) 493-1314
Other practice location 1
5 Science Park
New Haven, CT 06511-1966
Phone (203) 777-8648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01877 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychiatry, Inc. | Current | Accepting new patients | |
| Gershon Psychological Associates, LLC | Current | Accepting new patients | |
| Reid Wellness, LLC | Clinical | Current | Accepting new patients |
Locations
2980 W Shore Rd
Ste 6
Warwick, RI 02886
Phone (401) 584-2791
400 Bald Hill Rd
Ste 530
Warwick, RI 02886
Phone (401) 737-9091
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Warwick, RI
- NPI 1659126084
-
- Psychiatry Physician
- Warwick, RI
- NPI 1760863229
-
- Psychologist
- Warwick, RI
- NPI 1538366935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1376952317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BALD HILL RD STE 530",
"city": "WARWICK",
"state": "RI",
"postal_code": "028866111",
"telephone_number": "013-493-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BALD HILL RD STE 530",
"city": "WARWICK",
"state": "RI",
"postal_code": "028866111",
"telephone_number": "401-349-3131",
"fax_number": "401-921-5109"
}
],
"practiceLocations": [
{
"address_1": "5 Science Park",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065111966",
"country_code": "US",
"telephone_number": "203-777-8648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REID",
"first_name": "JESSICA",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.