Organization Active NPI

Reeder Psychiatry PLLC

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1700385481
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27106 Issued in OK
Legal business name
REEDER PSYCHIATRY PLLC
Practice address
2515 NW 16TH St
Oklahoma City, OK 73107-4839
Phone
(405) 420-6646
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Tonja Sue Martin
Title
Office Manager
Phone
(405) 420-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 27106 OK Primary

Addresses

Primary practice location

2515 NW 16TH St
Oklahoma City, OK 73107-4839

Mailing address

7926 N May Ave
Oklahoma City, OK 73120-4541
Phone (405) 420-6646

Other practice location 1

7926 N May Ave
Oklahoma City, OK 73120-4541
Phone (405) 420-6646

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherPENDING

Other names 1

  • Reeder Psychiatry PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

7926 N May Ave
Oklahoma City, OK 73120
Phone (405) 420-6646

2515 NW 16th St
Oklahoma City, OK 73107
Phone (405) 420-6646

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1700385481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7926 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204541",
            "telephone_number": "405-420-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731074839",
            "telephone_number": "405-420-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7926 N May Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731204541",
            "country_code": "US",
            "telephone_number": "405-420-6646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REEDER PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-420-6646",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "27106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reeder Psychiatry PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.