DR. KEITH LEE RIEDER (NPI# 1417922360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417922360 |
| Entity Type | Individual |
| Full Name | DR. KEITH LEE RIEDER |
| Credential | ED.D. |
| Practice Address |
1061 Maple Dr Suite 1 Morgantown WV 26505-2814 |
| Practice Telephone | 3045995751 |
| Practice Fax Number | 3045992124 |
| Mailing Telephone | 3045995751 |
| Mailing Fax Number | 3045992124 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
580 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0164008000 | 05 | |
| WV | MAGELLAN/HEALTH PLAN | Y295240 | 01 |
| WV | VALUE OPTIONS | 047096 | 01 |
| Street Address |
1061 MAPLE DR SUITE 1 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578836029 | Catherine Ann Yura | Psychologist | Student Services Building, Morgantown, WV 26506 | 2012-02-14 |
| 1770734972 | Traci Aaron Berry-harris | Psychologist | 1224 B Pineview Dr, Morgantown, WV 26505-2714 | 2008-10-06 |
| 1194820118 | Intensive Trauma Therapy Inc | Psychologist | 314 Scott Avenue, Morgantown, WV 26508 | 2006-09-14 |
| 1003422924 | Yaping Huang Anderson | Psychologist | 933 Cheat Rd, Morgantown, WV 26508-5631 | 2020-09-16 |
| 1578181533 | Narayan Gold | Psychologist | 933 Cheat Rd, Morgantown, WV 26508-5631 | 2020-07-07 |
| 1609222348 | Teresa Stire | Psychologist | 1224 Pineview Dr Ste B, Morgantown, WV 26505-0708 | 2016-05-12 |
| 1447523360 | Edard F Etzel | Psychologist | 700 College Ave, Morgantown, WV 26505-6422 | 2012-02-23 |
| 1699844845 | Marion P Kostka | Psychologist | 1553 Stewartstown Rd, Morgantown, WV 26505-2947 | 2006-11-06 |
| 1720164908 | Linda M Gantt | Psychologist | 314 Scott Avenue, Morgantown, WV 26508 | 2006-10-31 |
| 1124097456 | Lisa C Hamilton | Psychologist | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2006-03-17 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on DR. KEITH LEE RIEDER.
| 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.