Active NPI
James Phillip Reed, D.O.
- Psychiatry Physician
- Sierra Vista, AZ
National Provider Identifier
1790719441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2845
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158536 | Medicaid | AZ | |
| 349690700 | Other | AZ | OWCP-US DEPT. OF LABOR |
| AZ0725680 | Other | AZ | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Pedro Health | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sierra Vista, AZ
- NPI 1245501188
-
- Community/Behavioral Health Agency
- Sierra Vista, AZ
- NPI 1841636776
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.