Dr. Jared Lee Reichenberg
MD | Psychiatry | Child & Adolescent | 10+ years Exp
345 Blackstone Blvd, Providence
Rhode Island, 02906-4800
401-455-6200 Maps & DirectionsDr. Jared Lee Reichenberg is a Providence, Rhode Island based psychiatrist with 10 years of experience in Child & Adolescent. He completed his graduation from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2015. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jared Lee Reichenberg is MD16516 for Child & Adolescent in Rhode Island. His current practice location is 345 Blackstone Blvd, Providence. Patients can reach him at 401-455-6200. Dr. Jared Lee Reichenberg is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1124408661.
Dr. Jared Lee Reichenberg has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Jared Lee Reichenberg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Jared Lee Reichenberg |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 10+ years |
| Medical School Attended: | Rutgers R W Johnson Medical School (cam/new Bruns/pisc) |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 345 Blackstone Blvd, Providence,
Rhode Island, 02906-4800 |
| Phone: | 401-455-6200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 8820390578 |
| Enrollment ID: | I20200806000253 |
| NPI Number: | 1124408661 |
| NPI Enumeration Date: | 29 May, 2015 |
| NPI Last Update On: | 12 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jared Lee Reichenberg are as mentioned below.
| License Number | Specialization | State | Status | |
| MD16516 | Child & Adolescent | Rhode Island | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jared Lee Reichenberg is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Affinity Physicians Llc. (0244413391) | 497 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Jared Lee Reichenberg
345 Blackstone Blvd,
Providence, Rhode Island |
| Zip: | 02906-4800 |
| Phone Number: | 401-455-6200 |
Patients can reach Dr. Jared Lee Reichenberg at
345 Blackstone Blvd, Providence, Rhode Island or can
call to book an appointment on 401-455-6200.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.