NPIMap

Organization Active NPI

Michael T. Reid, PH.D. LLC

  • Clinical Child & Adolescent Psychologist
  • Towson, MD
National Provider Identifier
1396385530
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
MICHAEL T. REID, PH.D. LLC
Practice address
1122 Kenilworth Dr Ste 100
Towson, MD 21204-2142
Phone
(410) 881-3945
Fax
(410) 881-3945
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Dr. Michael Talbot Reid, PH.D
Title
Psychologist
Phone
(410) 698-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

1122 Kenilworth Dr Ste 100
Towson, MD 21204-2142

Mailing address

1122 Kenilworth Dr Ste 100
Towson, MD 21204-2142
Phone (410) 881-3945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1396385530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042142",
            "telephone_number": "410-881-3945",
            "fax_number": "410-881-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042142",
            "telephone_number": "410-881-3945",
            "fax_number": "410-881-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. REID, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TALBOT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-698-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.