DR. IRANCE' REDDIX (NPI# 1659310431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659310431 |
Entity Type | Individual |
Full Name | DR. IRANCE' REDDIX |
Credential | M.D. |
Practice Address |
122 Slade Ave Suite 101 Pikesville MD 21208-4915 |
Practice Telephone | 4105850124 |
Practice Fax Number | 4105850127 |
Mailing Telephone | 4105850124 |
Mailing Fax Number | 4105850127 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2016-07-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
D0064454 | MD | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 412870200 | 05 |
Street Address |
122 SLADE AVE SUITE 101 |
City | PIKESVILLE |
State | MD |
Zip Code | 21208-4915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629045166 | Mitchell Klapper | Specialist | 122 Slade Ave, Suite 202, Pikesville, MD 21208-4915 | 2006-03-03 |
1477810166 | Center for Rehabilitation Pain Management and Wellness Pa | Non-Pharmacy Dispensing Site | 122 Slade Ave, Suite 101, Pikesville, MD 21208-4915 | 2012-04-18 |
1679754188 | Jared Wayne Reaves | Physical Medicine & Rehabilitation | 122 Slade Ave, Pikesville, MD 21208-4915 | 2007-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
Find all providers in zip 21208 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083273635 | Rahimatou N/a Nkwanui | Psychologist | 16 Bannington Dr Uppr Marlboro, Upper Marlboro, MD 20774-1438 | 2019-06-07 |
1962916973 | Asumta Ngum Tumasang | Psychologist | 9704 Mount Pisgah Rd Apt 101, Silver Spring, MD 20903 | 2017-11-29 |
1346790466 | Empathkare | Psychologist | 2408 Smith Ave, Baltimore, MD 21209-2634 | 2016-10-12 |
1629210166 | University Care | Psychologist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2009-03-30 |
1144481193 | Noel Smith | Psychologist | 1002 E Patapsco Ave, Baltimore, MD 21225-2229 | 2008-06-23 |
1386762706 | Natasha Durant | Psychologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2007-03-26 |
1235296567 | James J Lynch Pa | Psychologist | 606 Baltimore Ave, Suite 200, Towson, MD 21204-4026 | 2007-01-03 |
1851471999 | Jennifer Jean Bodart | Psychologist | 1050 W Perimeter Rd, Malcolm Grow Medical Center, Andrews Afb, MD 20762-6601 | 2006-10-16 |
City | PIKESVILLE |
Zip Code | 21208 |
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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.