Active NPI
James Reid, PHD
- Health Service Psychologist
- Parris Island, SC
National Provider Identifier
1710215520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- PY9127-PR
- Practice address
- 670 Blvd de France
Parris Island, SC 29905 - Phone
- (843) 228-3869
- NPI assigned
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY9127-PR | MA | |
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Health Service Psychologist | 103TH0100X | PY9127-PR | MA | Primary |
Addresses
Primary practice location
670 Blvd de France
Parris Island, SC 29905
Mailing address
Attn: Medical Staff Services BLDG. H 2005 Knight Lane
Navy Medicine Support Command
Jacksonville, FL 32212-0140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9127-PR | MA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1710215520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ATTN: MEDICAL STAFF SERVICES BLDG. H 2005 KNIGHT LANE",
"address_2": "NAVY MEDICINE SUPPORT COMMAND",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322120140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 BLVD DE FRANCE",
"city": "PARRIS ISLAND",
"state": "SC",
"postal_code": "29905",
"telephone_number": "843-228-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "PY9127-PR",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "PY9127-PR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parris Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.