npidexNPI registry + Medicare data

JEREMY RIDENOUR, PSY.D.

Psychologist · STOCKBRIDGE, MA

Individual Active Opted out of Medicare NPI 1831558238

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Psychologist103T00000X✓10216MA
Psychologist103T00000X048.0117056VT

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2017-07-17 through 2027-07-17.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.