IndividualActive
Moitreyee Reddy, M.D.
NPI 1164517082 · Child & Adolescent Psychiatry Physician · Green Bay, WI
Provider details
- NPI number
- 1164517082
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 49132-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2640 W Point Rd
Green Bay, WI 54304-1344
Phone: (920) 490-3790
Fax: (920) 490-3845
Street-level locationGet directions
Mailing address
Po Box 365
Oneida, WI 54155-0365
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.