Individual provider Active NPI

Michael Lewis Reed, EDD PHD

  • Psychologist
  • New Bern, NC
National Provider Identifier
1811085673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1505 Issued in NC
Practice address
504 Pollock St
New Bern, NC 28563
Phone
(252) 638-3881
Fax
(252) 638-8820
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

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
Psychologist 103T00000X 1505 NC Primary

Addresses

Primary practice location

504 Pollock St
New Bern, NC 28563

Mailing address

PO Box 777
New Bern, NC 28563
Phone (252) 638-3881

Other identifiers 2

IdentifierTypeStateIssuer
6000170MedicaidNC
0245ROtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20110428000731 NC Practitioner - Clinical Psychologist 0749178119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
West Virginia University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

504 Pollock St
New Bern, NC 28562-5612
Phone (252) 638-3881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1505NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Therapeutic Resources LLC Psychologist CurrentSince Aug 1, 1995 Accepting new patients
Coastal Learning Resources Past Accepting new patients

Locations

210 Stonebridge Sq
Havelock, NC 28532
Phone (252) 444-8877

504 Pollock St
New Bern, NC 28562
Phone (252) 634-7984

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811085673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28563",
            "telephone_number": "252-638-3881",
            "fax_number": "252-638-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 POLLOCK ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28563",
            "telephone_number": "252-638-3881",
            "fax_number": "252-638-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "EDD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000170",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0245R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.