Jonathan Reade, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-09473 Issued in NM

Practice address

92 Vista Montana Loop
Placitas, NM 87043-9518

Phone

(917) 412-9296

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GD Psych Services, LLCGroup PAC ID 6204260474, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• GD Psych Services, LLC

  • Psychologist
  • Rio Rancho, NM
  • NPI 1801379433
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1669834396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 VISTA MONTANA LOOP",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439518",
            "telephone_number": "917-412-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 VISTA MONTANA LOOP",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439518",
            "telephone_number": "917-412-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READE",
        "first_name": "JONATHAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-09473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josef Nisenbaum, DO
• Nutrition Redefined LLC
• Audrey Susan Petzold, OTR/L
• Placitas Chiropractic, LLC
• Placitas Healing Center LLC
• Red Lotus Counseling Inc
• Sandia Vista Therapy LLC
• Santa Fe Speech Services (ABQ Speech Therapy Services)
• Jessica R Schulte, DOM
• Neale Schwarting, MOT, OTR/L

• Clinical Social Worker in Placitas, NM
• Providers in Placitas, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.