Individual provider Active NPI

Reena Baharani, M.D.

  • Psychiatry Physician
  • Bristol, TN
National Provider Identifier
1659631950
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
286242 Issued in NY
Practice address
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone
(423) 844-1121
NPI assigned
May 21, 2012
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD61310761 WA
Psychiatry Physician 2084P0800X 201351 AK
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 286242 NY Primary

Addresses

Primary practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other practice location 2

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 3

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 4

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 5

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-7660

Other practice location 6

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-3191

Other practice location 7

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, MD, OR, TN, VA, MI7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20170905001774 NY Practitioner - Psychiatry 5395018865 Reassigns benefits to 3 organizations
I20220510001255 DC Practitioner - Psychiatry 5395018865 Reassigns benefits to 2 organizations
I20220510001541 MD Practitioner - Psychiatry 5395018865 Reassigns benefits to 2 organizations
I20220804001265 OR Practitioner - Psychiatry 5395018865 Reassigns benefits to 1 organization
I20221115003607 TN Practitioner - Psychiatry 5395018865 Reassigns benefits to 1 organization
I20230327002878 VA Practitioner - Psychiatry 5395018865 Reassigns benefits to 1 organization
I20240802000435 MI Practitioner - Psychiatry 5395018865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheppard Pratt Physicians PAGroup PAC ID 8224937610, 70 clinicians

Practice addresses (Care Compare)

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-5000

7220 Discovery Dr
Elkridge, MD 21075-7414
Phone (410) 938-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201351AKMDPsychiatry Physician
286242NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
McLaren Medical Group CurrentSince Jul 9, 2024 Accepting new patients
Maury Regional Medical Group, Inc CurrentSince Dec 24, 2023 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Apr 15, 2024 Accepting new patients
McLaren Medical Group Current Accepting new patients
Ellis Hospital CurrentSince Jun 28, 2022 Accepting new patients
Peacehealth Current Accepting new patients
Sheppard Pratt Physicians, P.a. Psychiatry CurrentSince May 1, 2025 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Dec 24, 2023 Accepting new patients
Allina Health System CurrentSince Jul 11, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Mar 24, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Aug 15, 2017 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Apr 15, 2024 Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 20, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Aug 15, 2017 Accepting new patients
McLaren Medical Group Psychiatry CurrentSince Jul 9, 2024 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations (25 of 38)

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

9520 Berger Rd
Ste 203
Columbia, MD 21046
Phone (410) 290-6940

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone 4108236408104

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Interoperability endpoints

  • Direct secure messaging: rbaharani172703@direct-guthrie.org

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1659631950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-7660",
            "fax_number": "907-228-7660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-3191",
            "fax_number": "360-729-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-636-4836",
            "fax_number": "360-636-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHARANI",
        "first_name": "REENA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61310761",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "201351",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "286242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.