NPIMap

Individual provider Active NPI

Norman D Reichwald, PSYD

  • Psychologist
  • Santa Ana, CA
National Provider Identifier
1043313620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19287 Issued in CA
Practice address
1206 E 17TH Street
Suite 106
Santa Ana, CA 92701-2641
Phone
(714) 210-8848
Fax
(714) 210-8856
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19287 CA Primary

Addresses

Primary practice location

1206 E 17TH Street
Suite 106
Santa Ana, CA 92701-2641

Mailing address

3250 Wilshire Blvd
Suite 930
Los Angeles, CA 90010-1438
Phone (213) 739-0019

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart L Zubrick Marriage Family and Child Counseling, a Prof Corp Past Accepting new patients
Champion Medical Group, a Medical Corporation Past Accepting new patients
Champion Medical Group Past Accepting new patients
Socal Psychiatric Medical Group, a Medical Corporation Psychologist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043313620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WILSHIRE BLVD",
            "address_2": "SUITE 930",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101438",
            "telephone_number": "213-739-0019",
            "fax_number": "213-739-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 17TH STREET",
            "address_2": "SUITE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012641",
            "telephone_number": "714-210-8848",
            "fax_number": "714-210-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHWALD",
        "first_name": "NORMAN",
        "middle_name": "D",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.