Individual provider Active NPI

Daryn Scott Reicherter, MD

  • Psychiatry Physician
  • Stanford, CA
National Provider Identifier
1063569721
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A80353 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Jan 4, 2007
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A80353 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680
Phone (408) 975-2730

Other identifiers 1

IdentifierTypeStateIssuer
00A803530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220001120 CA Practitioner - Psychiatry 6305731985 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1621 Gold St
Alviso, CA 95002-3530
Phone (408) 938-2113

2400 Moorpark Ave
Suite 300
San Jose, CA 95128-2680
Phone (408) 975-2763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80353CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Family Health Network Inc CurrentSince Mar 17, 2020 Accepting new patients
Stanford Health Care CurrentSince Jan 7, 2014 Accepting new patients
Peninsula Healthcare Connection, Inc. CurrentSince Mar 14, 2017 Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince Aug 2, 2011 Accepting new patients
Stanford Health Care Current Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince Aug 2, 2011 Accepting new patients
Stanford Health Care CurrentSince Jan 7, 2014 Accepting new patients
South County Community Health Center Inc CurrentSince May 22, 2011 Accepting new patients
South County Community Health Center Inc CurrentSince May 22, 2011 Accepting new patients
Gardner Family Health Network CurrentSince Mar 17, 2020 Accepting new patients
Schuman-Liles Clinic, Inc Psychiatry Past Accepting new patients
Schuman-Liles Clinic, Inc Psychiatry Past Accepting new patients

Locations

1798 Bay Rd
Ste A
East Palo Alto, CA 94303
Phone (650) 330-7400

33 Encina Ave
Ste 103
Palo Alto, CA 94301
Phone (650) 504-6565

160 E Virginia St
Ste 100
San Jose, CA 95112
Phone (408) 918-2618

1671 The Alameda
Ste 306
San Jose, CA 95126
Phone (408) 239-4574

2400 Moorpark Ave
Ste 300
San Jose, CA 95128
Phone (408) 975-2763

2400 Moorpark Ave
Ste 319
San Jose, CA 95128
Phone 4089752730428

266 N Jackson Ave
Ste 4
San Jose, CA 95116
Phone (408) 975-2763

749 Story Rd
Ste 50
San Jose, CA 95122

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Pasteur Dr
#5500
Stanford, CA 94305
Phone (415) 723-5525

Interoperability endpoints

  • Direct secure messaging: dreicherter578486@direct.ochin.org
  • Direct secure messaging: dreicherter591308@direct.ochin.org

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1063569721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Moorpark Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282680",
            "country_code": "US",
            "telephone_number": "408-975-2730",
            "fax_number": "408-975-2745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHERTER",
        "first_name": "DARYN",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A80353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.