Provider Demographics
NPI:1710543277
Name:REED PSYCHIATRY
Entity Type:Organization
Organization Name:REED PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:PMH-NP
Authorized Official - Phone:208-871-4790
Mailing Address - Street 1:1105 2ND ST S STE 100
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-3911
Mailing Address - Country:US
Mailing Address - Phone:208-871-4790
Mailing Address - Fax:208-473-7255
Practice Address - Street 1:1105 2ND ST S STE 100
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3911
Practice Address - Country:US
Practice Address - Phone:208-871-4790
Practice Address - Fax:208-473-7255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)