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MICHAEL R. REIDER PH.D. APC NPI 1659305613


NPI Information

NPI: 1659305613
Provider Name: MICHAEL R. REIDER, PH.D., APC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
9750 MIRAMAR ROAD
SUITE 210
SAN DIEGO, CA
ZIP 92126
Phone: (888) 293-3182
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MICHAEL R. REIDER, PH.D., APC is a clinical psychologist in San Diego, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MICHAEL R. REIDER, PH.D., APC NPI is 1659305613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9750 MIRAMAR ROAD
SUITE 210
SAN DIEGO, CA
ZIP 92126-562
Phone: (888) 293-3182
Fax: (888) 293-3182

The provider's authorized official is Michael Robert Reider .
The authorized official title is Clinical Psychologist/ceo and has the following contact phone number (888) 293-3182.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY13784CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PSY137840OTHERCALIFORNIAMEDI-CAL
2CP13784MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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