Active NPI
James D Reed, DO
- Psychologist
- Okemos, MI
National Provider Identifier
1487624243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301005840
- Practice address
- 4121 Okemos Rd
Suite 15
Okemos, MI 48864-3220 - Phone
- (517) 381-1700
- Fax
- (517) 381-1703
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301005840 | MI | Primary |
Addresses
Primary practice location
4121 Okemos Rd
Suite 15
Okemos, MI 48864-3220
Mailing address
4121 Okemos Rd
Suite 15
Okemos, MI 48864-3220
Phone (517) 381-1700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-39094 | Other | MI | UBH |
| 61-93909 | Other | MI | PHP |
| 367325 | Other | MI | TRICARE/MHN |
| 680C3141520 | Other | MI | BCBS |
| 7670553 | Other | MI | AETNA PROVIDER |
| 037190 | Other | MI | VALUE OPTIONS |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005840 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychiatric Consultants, PC | Past | Accepting new patients | |
| Innervisions Pyschological Services, PLLC. | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Okemos, MI
- NPI 1710026513
-
- Professional Counselor
- Okemos, MI
- NPI 1851361554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1487624243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 OKEMOS RD",
"address_2": "SUITE 15",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643220",
"telephone_number": "517-381-1700",
"fax_number": "517-381-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 OKEMOS RD",
"address_2": "SUITE 15",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643220",
"telephone_number": "517-381-1700",
"fax_number": "517-381-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JAMES",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301005840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "61-39094",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "61-93909",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/MHN",
"identifier": "367325",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "680C3141520",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "7670553",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "037190",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.