NPIMap

Organization Active NPI

Innervisions Pyschological Services, PLLC.

  • Psychologist
  • Okemos, MI
National Provider Identifier
1710026513
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301005840 Issued in MI
Legal business name
INNERVISIONS PYSCHOLOGICAL SERVICES, PLLC.
Practice address
4121 Okemos Rd
Suite 15
Okemos, MI 48864-3220
Phone
(517) 381-1700
Fax
(517) 381-1703
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. James Reed, PH.D.NPI 1487624243
Title
Psychologist
Phone
(517) 381-1700

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301005840 MI Primary

Addresses

Primary practice location

4121 Okemos Rd
Suite 15
Okemos, MI 48864-3220

Mailing address

4121 Okemos Rd
Suite 15
Okemos, MI 48864-3220
Phone (517) 381-1700

Other identifiers 2

IdentifierTypeStateIssuer
7670553OtherMIAETNA
367325OtherMITRICARE/MHN

Other names 1

  • James Reed Doing business as

National Provider Directory

National Provider Directory

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1710026513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 OKEMOS RD",
            "address_2": "SUITE 15",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643220",
            "telephone_number": "517-381-1700",
            "fax_number": "517-381-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 OKEMOS RD",
            "address_2": "SUITE 15",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643220",
            "telephone_number": "517-381-1700",
            "fax_number": "517-381-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVISIONS PYSCHOLOGICAL SERVICES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-381-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7670553",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/MHN",
            "identifier": "367325",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Reed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.