Individual provider Active NPI

Douglas R. Reed, M.D.

  • Psychiatry Physician
  • Williamsport, PA
National Provider Identifier
1801830443
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD47624L Issued in PA
Practice address
1000 Commerce Park Dr
Suite 110
Williamsport, PA 17701-5475
Phone
(570) 323-6944
Fax
(570) 323-4529
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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 MD47624L PA Primary

Addresses

Primary practice location

1000 Commerce Park Dr
Suite 110
Williamsport, PA 17701-5475

Mailing address

320 Highland Dr
Mountville, PA 17554-1232
Phone (717) 285-7121

Other identifiers 3

IdentifierTypeStateIssuer
977004OtherPAPA BLUE SHIELD
001705449MedicaidPA
50037494OtherPACAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040812001074 PA Practitioner - Psychiatry 2365414943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Services Group IncGroup PAC ID 1052201571, 32 clinicians

Practice addresses (Care Compare)

1000 Commerce Park Dr
Suite 110
Williamsport, PA 17701-5475
Phone (570) 323-6944

1800 W Market St
Diakon Family Life Services
Lewisburg, PA 17837-1236
Phone (570) 524-9477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD47624LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Services Group, Inc. CurrentSince Jun 7, 2004 Accepting new patients
Diakon Child, Family & Community Ministries Current Accepting new patients
Diakon Child, Family and Community Ministries CurrentSince Jul 1, 2014 Accepting new patients
Diakon Child, Family & Community Ministries CurrentSince Jul 1, 2014 Accepting new patients
Diakon Child Family and Community Ministries Past Accepting new patients

Locations

1800 W Market St
Lewisburg, PA 17837
Phone (570) 524-9477

960 Century Dr
Mechanicsburg, PA 17055
Phone (717) 579-2999

5000 Ritter Rd
Ste 101
Mechanicsburg, PA 17055

7930 Nittany Valley Dr
Mill Hall, PA 17751
Phone (570) 323-6944

241 Broad St
Montoursville, PA 17754
Phone (570) 329-0196

320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121

200 W Penn St
Muncy, PA 17756
Phone 57054631291160

2800 W 4th St
Williamsport, PA 17701

1825 Hays Ln
Williamsport, PA 17701

1801 Loyalsock Dr
Williamsport, PA 17701
Phone (717) 254-7134

1500 Cherry St
Williamsport, PA 17701

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

435 W 4th St
Williamsport, PA 17701
Phone (570) 327-4913

2990 W 4th St
Williamsport, PA 17701
Phone (570) 323-8411

85 Eldred St
Williamsport, PA 17701

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/diakon/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1801830443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HIGHLAND DR",
            "city": "MOUNTVILLE",
            "state": "PA",
            "postal_code": "175541232",
            "telephone_number": "717-285-7121",
            "fax_number": "717-285-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE PARK DR",
            "address_2": "SUITE 110",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015475",
            "telephone_number": "570-323-6944",
            "fax_number": "570-323-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DOUGLAS",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD47624L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "977004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001705449",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50037494",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.