Individual provider Active NPI

Kathleen O'Malley Reyntjens, PHD

  • Counseling Psychologist
  • Santa Fe, NM
National Provider Identifier
1003830415
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0974 Issued in NM
Practice address
110 Delgado St
Suite a
Santa Fe, NM 87501-2781
Phone
(505) 820-0963
Fax
(505) 982-9767
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 0974 NM Primary

Addresses

Primary practice location

110 Delgado St
Suite a
Santa Fe, NM 87501-2781

Mailing address

PO Box 32747
Santa Fe, NM 87594-2747
Phone (505) 603-5052

Other names 1

  • Ms. Kathleen Margaret O'Malley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0974NMMDCounseling Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1003830415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32747",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875942747",
            "telephone_number": "505-603-5052",
            "fax_number": "505-982-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DELGADO ST",
            "address_2": "SUITE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012781",
            "telephone_number": "505-820-0963",
            "fax_number": "505-982-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNTJENS",
        "first_name": "KATHLEEN",
        "middle_name": "O'MALLEY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "0974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "O'MALLEY",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.