Gerald Michael Reid, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10916 Issued in MA

Practice address

361 Newbury St FL 5
Boston, MA 02115-2738

Phone

(857) 352-2037

NPI assigned

Sep 14, 2016

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1619425030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 NEWBURY ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152738",
            "telephone_number": "857-352-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 NEWBURY ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152738",
            "telephone_number": "857-352-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "GERALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10916",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azure Juliette Reid-Russell, BS
• William-Bernard Reid-Varley, M.D.
• Andrea Ewing Reid, MD
• Candice Nichole Reid, PT
• Danielle Reid
• Hadley Woodruff Reid, MD
• Kathleen Reid, MA, LMHC
• Kenneth Aaron Reid, PTA
• Nathalie Patricia Reid
• Omar Gamal Reid, PSY.D

• Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.