Individual provider Active NPI

James D Reed, DO

  • Psychologist
  • Okemos, MI
National Provider Identifier
1487624243
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301005840 Issued in MI
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

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
61-39094OtherMIUBH
61-93909OtherMIPHP
367325OtherMITRICARE/MHN
680C3141520OtherMIBCBS
7670553OtherMIAETNA PROVIDER
037190OtherMIVALUE 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

LicenseStateTypeSpecialty
6301005840MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatric Consultants, PC Past Accepting new patients
Innervisions Pyschological Services, PLLC. Psychologist PastSince Nov 27, 2006 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.

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.

Verify at the official NPI Registry.