Organization Active NPI

Reid Wellness, LLC

  • Clinical Psychologist
  • Warwick, RI
National Provider Identifier
1659126084
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
REID WELLNESS, LLC
Practice address
2980 W Shore Rd Ste 6
Warwick, RI 02886-5423
Phone
(401) 584-2791
Fax
(401) 583-5029
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Dr. Jessica Reid, PSYDNPI 1376952317
Title
Owner/Clinical Psychologist
Phone
(408) 506-9833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2980 W Shore Rd Ste 6
Warwick, RI 02886-5423

Mailing address

2980 W Shore Rd Ste 6
Warwick, RI 02886-5423
Phone (401) 584-2791

National Provider Directory

National Provider Directory

Locations

2980 W Shore Rd
Ste 6
Warwick, RI 02886
Phone (401) 584-2791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1659126084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 W SHORE RD STE 6",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028865423",
            "telephone_number": "401-584-2791",
            "fax_number": "401-583-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 W SHORE RD STE 6",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028865423",
            "telephone_number": "401-584-2791",
            "fax_number": "401-583-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "408-506-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.