Individual provider Active NPI

James Phillip Reed, D.O.

  • Psychiatry Physician
  • Sierra Vista, AZ
National Provider Identifier
1790719441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2845 Issued in AZ
Practice address
4151 La Linda Way
Suite 102
Sierra Vista, AZ 85635-4600
Phone
(520) 515-9610
Fax
(520) 515-0031
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2845 AZ Primary

Addresses

Primary practice location

4151 La Linda Way
Suite 102
Sierra Vista, AZ 85635-4600

Mailing address

4151 La Linda Way
Suite 102
Sierra Vista, AZ 85635-4600
Phone (520) 515-9610

Other identifiers 3

IdentifierTypeStateIssuer
158536MedicaidAZ
349690700OtherAZOWCP-US DEPT. OF LABOR
AZ0725680OtherAZBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000084 AZ Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0648297283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4151 La Linda Way
Suite 102
Sierra Vista, AZ 85635-4600
Phone (520) 515-9610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
San Pedro Health PastSince Feb 5, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790719441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 LA LINDA WAY",
            "address_2": "SUITE 102",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354600",
            "telephone_number": "520-515-9610",
            "fax_number": "520-515-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 LA LINDA WAY",
            "address_2": "SUITE 102",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354600",
            "telephone_number": "520-515-9610",
            "fax_number": "520-515-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JAMES",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "2845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158536",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP-US DEPT. OF LABOR",
            "identifier": "349690700",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "AZ0725680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.