Individual provider Active NPI

Adam Reish, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1891279659
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP019281 Issued in PA
Practice address
1172 W Main St
Stroudsburg, PA 18360-1323
Phone
(570) 424-6187
NPI assigned
Sep 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP019281 PA Primary

Addresses

Primary practice location

1172 W Main St
Stroudsburg, PA 18360-1323

Mailing address

3731 Allen St Apt 6
Allentown, PA 18104-4665
Phone (570) 242-8025

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001124 PA Practitioner - Nurse Practitioner 1951645225 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019281PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Isl, LTD CurrentSince Oct 7, 2018 Accepting new patients
Horizon House, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Horizon House - Delaware Inc Past Accepting new patients

Locations

3275 Stokley St
Philadelphia, PA 19129
Phone (215) 386-3838

120 S 30th St
Philadelphia, PA 19104
Phone (215) 222-2466

1172 W Main St
Stroudsburg, PA 18360
Phone (570) 424-6187

Organizations & group practices 3

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1891279659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 ALLEN ST APT 6",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044665",
            "telephone_number": "570-242-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601323",
            "telephone_number": "570-424-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISH",
        "first_name": "ADAM",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP019281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.