Active NPI
Carolyn B Reed, PHD
- Clinical Psychologist
- San Angelo, TX
National Provider Identifier
1497787782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22400
- Practice address
- 3196 Executive Dr
San Angelo, TX 76904-6802 - Phone
- (325) 944-4677
- Fax
- (325) 947-2056
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22400 | TX | Primary |
Addresses
Primary practice location
3196 Executive Dr
San Angelo, TX 76904-6802
Mailing address
3196 Executive Dr
San Angelo, TX 76904-6802
Phone (325) 944-4677
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22400 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497787782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3196 EXECUTIVE DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769046802",
"telephone_number": "325-944-4677",
"fax_number": "325-947-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3196 EXECUTIVE DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769046802",
"telephone_number": "325-944-4677",
"fax_number": "325-947-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "CAROLYN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "22400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.