Provider Demographics
NPI:1194005660
Name:REED, MICHAEL J (PSYD, LP, HSP-P)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:REED
Suffix:
Gender:M
Credentials:PSYD, LP, HSP-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9208 FALLS OF NEUSE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2438
Mailing Address - Country:US
Mailing Address - Phone:907-227-7527
Mailing Address - Fax:
Practice Address - Street 1:9208 FALLS OF NEUSE RD STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2438
Practice Address - Country:US
Practice Address - Phone:907-227-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3771101YA0400X
AKPSY O 83101YM0800X
NC6364103G00000X
AKPSYA673103T00000X
AK149234103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist