Individual provider Active NPI

David Gordon Reid, MFTI

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1942686449
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M10847 Issued in NV
Practice address
1280 Terminal Way
Reno, NV 89502
Phone
(775) 337-9359
Fax
(775) 337-9360
NPI assigned
Aug 6, 2015
Last updated
Jul 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M10847 NV Primary

Addresses

Primary practice location

1280 Terminal Way
Reno, NV 89502

Mailing address

3101 Sky Country Dr.
Reno, NV 89503
Phone (775) 742-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240215001804 NV Practitioner - Marriage and Family Therapist 0345684536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M10847NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Wright, Psy.D., LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

4600 Kietzke Ln
Ste N250
Reno, NV 89502
Phone (775) 500-0396

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1942686449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SKY COUNTRY DR.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-742-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 TERMINAL WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-337-9359",
            "fax_number": "775-337-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "DAVID",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "M10847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.