Rebecca Martinez Reid, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20043208A Issued in IN

Practice address

2201 E Woodstock PL
Bloomington, IN 47401-6180

Phone

(812) 219-5867

Fax

(812) 219-5867

NPI assigned

Nov 2, 2018

Last updated

Nov 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1528536083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 E WOODSTOCK PL",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016180",
            "telephone_number": "812-219-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E WOODSTOCK PL",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016180",
            "telephone_number": "812-219-5867",
            "fax_number": "812-219-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "REBECCA",
        "middle_name": "MARTINEZ",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043208A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew S Reeves, DO
• Mya Reeves
• Amanda Regester
• Karen Lorraine Reid-Renner, MD MPH
• Maddux Reid
• Kayla Reidy, RBT
• Brigitte Shezelle Reina, MD
• Mariana Reis Ribeiro Pacheco
• Deanna Lynne Reising, PHD, RN
• Jennifer Gale Reiter, PHARM.D.

• Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.