Individual provider Active NPI

Philip Richard Reed, PSY.D.

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1952396558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
623 Issued in NM
Practice address
3200 Carlisle Blvd NE
Suite 121
Albuquerque, NM 87110-1600
Phone
(505) 889-4538
Fax
(505) 889-4514
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 623 NM Primary

Addresses

Primary practice location

3200 Carlisle Blvd NE
Suite 121
Albuquerque, NM 87110-1600

Mailing address

3200 Carlisle Blvd NE
Suite 121
Albuquerque, NM 87110-1600
Phone (505) 889-4538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20100916000265 NM Practitioner - Clinical Psychologist 4082739818 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3200 Carlisle Blvd NE
Suite 121
Albuquerque, NM 87110-2662
Phone (505) 889-4538

3200 Carlisle Neblvd
Suite 121
Albuquerque, NM 87110-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
623NMMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952396558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CARLISLE BLVD NE",
            "address_2": "SUITE 121",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101600",
            "telephone_number": "505-889-4538",
            "fax_number": "505-889-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CARLISLE BLVD NE",
            "address_2": "SUITE 121",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101600",
            "telephone_number": "505-889-4538",
            "fax_number": "505-889-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PHILIP",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.