Reuben Benjamin Ridgeway, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1092 Issued in SC

Practice address

1175 Cook Rd Ste 305
Orangeburg, SC 29118-8247

Phone

(803) 395-3715

Fax

(803) 395-3719

NPI assigned

Feb 6, 2009

Sex

Male

Sole proprietor

Yes

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 SC

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

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.41 of 100Reported as group

Quality

64.93

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

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.

• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment Care Compare group NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  • Hospitalist Physician
  • Orangeburg, SC
  • NPI 1003889676

  Clinical

  Medicare reassignment NPD
• Musc Community Physicians

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Regional Medical Center of Orangeburg and Calhoun Counties

  • Neurology Physician
  • Orangeburg, SC
  • NPI 1144940347
  NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  • Clinical Psychologist
  • Orangeburg, SC
  • NPI 1619387123
  NPD

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1821237389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BREWTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154218",
            "telephone_number": "803-707-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 COOK RD STE 305",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188247",
            "telephone_number": "803-395-3715",
            "fax_number": "803-395-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "REUBEN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daveisha Jalynn Richardson
• Richard Richardson Sr., M.D.
• Tamara Richardson, PHARM.D.
• Patricia Ellen Riddle, MD
• Elizabeth Rivers Ridgeway, M.ED.
• Christine Rihn, DPM
• Carleen Bowman Riley
• Jacquetta Riley
• Patrick B. Riley, CRNA
• Jose Antonio Rivera Jr.

• Clinical Psychologist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; 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.

Verify at the official NPI Registry.