Individual provider Active NPI

Jessica Grace Reid

  • Clinical Psychologist
  • Warwick, RI
National Provider Identifier
1376952317
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01877 Issued in RI
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

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS01877RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Gershon Psychological Associates, LLC CurrentSince Aug 30, 2020 Accepting new patients
Reid Wellness, LLC Clinical CurrentSince Apr 21, 2024 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.

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.

Verify at the official NPI Registry.