DR. JOHN MICHAEL REARDON (NPI# 1497938807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497938807 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL REARDON |
| Credential | PHD, MS |
| Practice Address |
2501 Capehart Rd Bellevue NE 68123 |
| Mailing Address |
2305 Mayflower Rd Bellevue NE 68123-4707 |
| Practice Telephone | 4022947411 |
| Mailing Telephone | 4792839812 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
PY8303 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467767533 | John M Reardon | Pharmacist | 513 Perry Hwy, Pittsburgh, PA 15229-1820 | 2010-08-13 |
| 1245350875 | John Clarence Reardon II | Chiropractor | 419 Main St # 312, Huntington Beach, CA 92648-5199 | 2007-03-29 |
| 1336246057 | John Foran Reardon | Dentist | 333 Main St N, Suite 111, Stillwater, MN 55082-5098 | 2006-09-17 |
| 1982008231 | John Reardon | Social Worker | 134 Thurbers Ave, Providence, RI 02905-4754 | 2014-10-15 |
| 1679786354 | John Edward Reardon | Internal Medicine | 4145 Carmichael Road, Montgomery Cancer Center, Montgomery, AL 36106-2803 | 2007-05-08 |
| Street Address |
2501 CAPEHART RD |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050389 | Joseph Tanaka | Student in an Organized Health Care Education/Training Program | 2501 Capehart Rd, Bellevue, NE 68123 | 2020-07-07 |
| 1427673698 | Kayla Miller | Physician Assistant | 2501 Capehart Rd, Bellevue, NE 68123 | 2020-06-12 |
| 1922633080 | Jacob Sullivan | Student in an Organized Health Care Education/Training Program | 2501 Capehart Rd, Bellevue, NE 68123 | 2020-03-10 |
| 1386278455 | Steven J Prueitt | Family Medicine | 2501 Capehart Rd, Bellevue, NE 68123 | 2020-02-27 |
| 1710530621 | Adam Stephen Hahn | Dentist | 2501 Capehart Rd, Bellevue, NE 68123 | 2019-07-19 |
| 1427610799 | Sheila A. Brown | Nurse Practitioner | 2501 Capehart Rd, Bellevue, NE 68123 | 2019-07-08 |
| 1215599907 | Michael Adam Mondelli | Student in an Organized Health Care Education/Training Program | 2501 Capehart Rd, Bellevue, NE 68123 | 2019-07-02 |
| 1285296137 | Nathaniel David Mack | Student in an Organized Health Care Education/Training Program | 2501 Capehart Rd, Bellevue, NE 68123 | 2019-07-01 |
| 1356908891 | Samuel Coen | Student in an Organized Health Care Education/Training Program | 2501 Capehart Rd, Bellevue, NE 68123 | 2019-05-21 |
| 1609433267 | Hannah Pearce Hornsby | Family Medicine | 2501 Capehart Rd, Bellevue, NE 68123 | 2019-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124481783 | Bellevue Clinic for Behavioral Health | Psychologist | 2105 112th Ave Ne, Suite 201, Bellevue, WA 98004-2945 | 2016-03-31 |
Please comment or provide details below to improve the information on DR. JOHN MICHAEL REARDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.