JACK REID PCCI #1189
NPI 1811394364
Counselor - Mental Health in San Francisco, CA
About Jack Reid Pcci #1189 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK REID PCCI #1189 (NPI 1811394364) is an individual mental health provider in San Francisco, California, licensed in California (PCCI 1189) and active in the NPI registry since November 2014.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Reid's NPI number?
The NPI number for Jack Reid is 1811394364. It was assigned to this individual provider in the NPPES registry on November 28, 2014. The provider is also known as Jay Reid Pcci #1189.
Where is Jack Reid located?
Jack Reid practices at 110 Gough St Suite 202, San Francisco, CA 94102. The listed phone number is (415) 944-3628.
What is Jack Reid's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Jack Reid was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jack Reid, PCCI #1189 · NPI 1811394364
Mental Health provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since November 28, 2014.
## Identity
- **NPI:** 1811394364 (Entity type: Individual)
- **Enumerated:** November 28, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** PCCI 1189 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 GOUGH ST, SUITE 202, San Francisco, CA 94102-5945
- **Phone:** (415) 944-3628
## Record status
- **NPPES last updated:** January 21, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1811394364) · Data from the CMS NPPES public registry.