Active NPI
Reeder Psychiatry PLLC
- Psychiatry Physician
- Oklahoma City, OK
National Provider Identifier
1700385481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27106
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | PENDING |
Other names 1
- Reeder Psychiatry PLLC
National Provider Directory
National Provider DirectoryLocations
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.