NPI age
19 years
Enumerated 2006-12-22
● Active
Type 1 · Individual
Consuelo Reddick, M.D.
Reddick is 1 of 6 psychiatry & neurology providers in Roswell and 1 of 196 in Georgia.
Primary specialty
Psychiatry & Neurology
Plus 9 subspecialties
Licensed in
GA, WA, MT, CA, OR
5 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 196 active psychiatry & neurology providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
5 states
Top 82% — 17% of peers are multi-state
Subspecialties
1
In the 55% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
300 Colonial Center Pkwy Ste 100
Roswell, GA 300764892
Mailing address
400 Union Ave Se Ste 200
Olympia, WA 985012060
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
100 Pine St Ste 1250
San Francisco, CA 941115235
Location 3
9620 Ne Tanasbourne Dr Ste 300
Hillsboro, OR 971247844
Location 4
2310 N 7th Ave Ste A
Bozeman, MT 597152550
Location 5
77 E Crossville Rd Ste 206
Roswell, GA 300753086
Location 6
400 Union Ave Se Ste 200
Olympia, WA 985012060
Specialties
-
Psychiatry & Neurology PrimaryChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
-
Psychiatry & NeurologyA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00024706 |
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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