Dr. Jeremy M Ridenour, PSYD
Psychologist in Stockbridge, Massachusetts
1831558238- Practice location
- 25 Main Street, Stockbridge, MA 01262-0962
- Phone
- 903-258-5876
- Fax
- 413-298-4020
- Last updated
- April 21, 2019
Jeremy Mark Ridenour is a Psychologist based in Stockbridge, MA. Jeremy Mark Ridenour practices in Stockbridge, MA and has the professional credentials of PSYD. The NPI Number for Jeremy Mark Ridenour is 1831558238 and holds a License No. 048.0117056 (VT). The current practice location address for Jeremy Mark Ridenour is 25 Main Street, Stockbridge, MA 01262-0962 and can be reached out via phone at 903-258-5876 and via fax at 413-298-4020.
Provider Profile Details
- NPI Number
- 1831558238
- Provider Name
- Jeremy Mark Ridenour
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Main Street, Stockbridge, MA 01262-0962
- Phone Number
- 903-258-5876
- Fax Number
- 413-298-4020
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 15, 2016
- Last Update Date
- April 21, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Main Street
Stockbridge, MA 01262-0962 - City
- Stockbridge
- State
- Massachusetts
- Zip
- 01262-0962
- Phone Number
- 903-258-5876
- Fax Number
- 413-298-4020
Provider Business Mailing Address Details
- Address
- 25 Main Street
Po Box 962
Stockbridge, MA 01262-0962 - City
- Stockbridge
- State
- MA
- Zip
- 01262-0962
- Phone Number
- 413-931-5283
- Fax Number
- 413-298-4020
License Information
- License Number (1)
- 048.0117056
- License State (1)
- VT
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 10216
- License State (2)
- MA
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Stockbridge, MA
View all Psychologists in Stockbridge →- Abigail Bliss, MSPsychologist · NPI 1730810524
- Dr. Daniel P Knauss, PSYDPsychologist · NPI 1578823290
- Dr. Donna M Elmendorf, PHDPsychologist · NPI 1275745952
- Dr. Jennifer L Stevens, PHDPsychologist · NPI 1366618720
- Dr. Michael Blake, PSYDPsychologist · NPI 1861876963
- Dr. Sharon E Krikorian, PHDPsychologist · NPI 1942342787
Frequently Asked Questions
What is the NPI number of Dr. Jeremy M Ridenour, PSYD?
The NPI number of Dr. Jeremy M Ridenour, PSYD is 1831558238. It was assigned on February 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy M Ridenour, PSYD?
Dr. Jeremy M Ridenour, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in VT under license number 048.0117056.
Where does Dr. Jeremy M Ridenour, PSYD practice?
The practice location is 25 Main Street, Stockbridge, MA 01262-0962. The office can be reached at 903-258-5876 (phone) or 413-298-4020 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831558238 directly on the NPPES registry website.