Individual provider Active NPI

Erin K Reid, PH.D

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1912774217
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3972 Issued in TN
Practice address
2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331
Phone
(865) 264-2400
Fax
(865) 588-6406
NPI assigned
Dec 6, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3972 TN Primary

Addresses

Primary practice location

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331

Mailing address

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331
Phone (865) 264-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240105000475 TN Practitioner - Clinical Psychologist 7719338581 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3972TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC Clinical CurrentSince Jan 2, 2024 Accepting new patients

Locations

116 Concord Rd
Ste 600
Knoxville, TN 37934
Phone (865) 282-4972

2607 Kingston Pike
Ste 250
Knoxville, TN 37919
Phone (865) 264-2400

6231 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 264-2400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1912774217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ERIN",
        "middle_name": "K",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.