Mitchell C. Reid, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004560 Issued in VA

Practice address

3036 Waddington Dr
North Chesterfield, VA 23224-5724

Phone

(804) 343-7646

Fax

(804) 819-5221

NPI assigned

Apr 24, 2012

Sex

Male

Sole proprietor

No

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 VA

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

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 and National Provider Directory roles.

• Richmond Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1184715328

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1710245030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 WADDINGTON DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232245724",
            "telephone_number": "804-343-7646",
            "fax_number": "804-819-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 WADDINGTON DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232245724",
            "telephone_number": "804-343-7646",
            "fax_number": "804-819-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MITCHELL",
        "middle_name": "C.",
        "credential": "LCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahati Reddy, M.D.
• Laura Noel Reed, LCSW
• Shannon Elizabeth Reed, OTR/L
• Reflections Personal Care
• Rehab Psych Associates PLLC
• Emily Reif
• Reign Or Shine LLC
• Michael Eugene Reimer, DDS
• Stephen D. Reinhardt, MD
• Rejuvenation and Wellness Counseling Services, LLC

• All providers in North Chesterfield, VA
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.