Active NPI
Ronda Redden Reitz, PH.D.
- Clinical Psychologist
- Knoxville, TN
National Provider Identifier
1629139019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000002299
- Practice address
- 5401 Kingston Pike
#410
Knoxville, TN 37919-5022 - Phone
- (865) 382-2747
- Fax
- (865) 584-4865
- NPI assigned
- Dec 12, 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 | P0000002299 | TN | Primary |
Addresses
Primary practice location
5401 Kingston Pike
#410
Knoxville, TN 37919-5022
Mailing address
5401 Kingston Pike
#410
Knoxville, TN 37919-5022
Phone (865) 382-2747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4037983 | Other | TN | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000002299 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629139019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 KINGSTON PIKE",
"address_2": "#410",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195022",
"telephone_number": "865-382-2747",
"fax_number": "865-584-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 KINGSTON PIKE",
"address_2": "#410",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195022",
"telephone_number": "865-382-2747",
"fax_number": "865-584-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITZ",
"first_name": "RONDA",
"middle_name": "REDDEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000002299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4037983",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
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.