Individual provider Active NPI

Douglas George Riedmiller, PSYD

  • Psychologist
  • Sarasota, FL
National Provider Identifier
1902196710
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5058 Issued in FL
Practice address
7705 Holiday Dr
Sarasota, FL 34231-5313
Phone
(941) 914-2271
Fax
(941) 925-5858
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5058 FL Primary

Addresses

Primary practice location

7705 Holiday Dr
Sarasota, FL 34231-5313

Mailing address

3831 Kingston Blvd
Sarasota, FL 34238-2625
Phone (941) 914-2271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5058FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1902196710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 KINGSTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382625",
            "telephone_number": "941-914-2271",
            "fax_number": "941-925-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 HOLIDAY DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315313",
            "telephone_number": "941-914-2271",
            "fax_number": "941-925-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDMILLER",
        "first_name": "DOUGLAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.