DR. JEREMY MARK RIDENOUR PSY.D.
NPI 1831558238
Psychologist in Stockbridge, MA

Active since February 15, 2016Opted out of Medicare · through Jul 17, 2027
25 MAIN STREET, STOCKBRIDGE, MA 01262(903) 258-5876(413) 298-4020 Get Directions Write a Review

NPPES record last updated: April 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2019, Mar 18, 2018, Feb 15, 2016 (3 updates tracked since 2016).

About Dr. Jeremy Mark Ridenour Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY MARK RIDENOUR PSY.D. (NPI 1831558238) is an individual psychologist in Stockbridge, Massachusetts, licensed in Massachusetts (10216) and active in the NPI registry since February 2016. He has opted out of Medicare through July 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1831558238
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEREMY MARK RIDENOURCredential: PSY.D.
Location Address25 MAIN STREETStockbridge, MA 01262-0962
Mailing Address25 Main Street, Po Box 962Stockbridge, MA 01262-0962 · (413) 931-5283 · Fax (413) 298-4020
Fax(413) 298-4020
Sole ProprietorYes
Enumeration DateFebruary 15, 2016
Last NPPES UpdateApril 21, 20193 updates tracked since enumeration
NPI 1831558238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MA · 10216 Licensed in VT · 048.0117056
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
25 MAIN STREET, Stockbridge, MA 01262

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeremy Mark Ridenour Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 17, 2017 through July 17, 2027.

Opt-Out Effective DateJuly 17, 2017
Opt-Out In Effect ThroughJuly 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Forensic Psychiatry)
25 MAIN STREET
STOCKBRIDGE, MA 01262
Psychiatry & Neurology (Psychiatry)
25 MAIN STREET
STOCKBRIDGE, MA 01262
Student in an Organized Health Care Education/Training Program
25 MAIN STREET, THE AUSTEN RIGGS CENTER
STOCKBRIDGE, MA 01262
Psychologist (Counseling)
25 MAIN STREET
STOCKBRIDGE, MA 01262
Clinic/Center (Mental Health (Including Community Mental Health Center))
25 MAIN STREET
STOCKBRIDGE, MA 01262
Psychologist
25 MAIN STREET
STOCKBRIDGE, MA 01262
Psychiatry & Neurology (Psychiatry)
25 MAIN STREET
STOCKBRIDGE, MA 01262
Psychiatry & Neurology (Psychiatry)
25 MAIN STREET
STOCKBRIDGE, MA 01262

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 Jeremy Ridenour's NPI number?

The NPI number for Jeremy Ridenour is 1831558238. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Jeremy Ridenour located?

Jeremy Ridenour practices at 25 Main Street, Stockbridge, MA 01262. The listed phone number is (903) 258-5876.

What is Jeremy Ridenour's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeremy Ridenour enrolled in Medicare?

No. Jeremy Ridenour has opted out of Medicare through July 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeremy Ridenour was last updated on April 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.