Phoebe Gene Bautista Delos Reyes, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R211960 Issued in MD

Practice address

260 Gateway Dr Ste 13-14B
Bel Air, MD 21014-4268

Phone

(410) 286-1258

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellness Legacy LLCGroup PAC ID 1052743457, 5 clinicians

Oasis the Mental Health Center LLCGroup PAC ID 8527424837, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oasis the Mental Health Center, LLC

  dba Oasis Behavioral Health Urgent Care

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1174606057
  Medicare reassignment Care Compare group NPD
• Wellness Legacy LLC

  • Nurse Practitioner
  • Bel Air, MD
  • NPI 1134777576

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Wellness Legacy LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
  • NPI 1992433916
  NPD
• Greater Baltimore Counseling Center, LLC

  • Clinical Psychologist
  • Glen Burnie, MD
  • NPI 1376616938

  Psychiatric/Mental Health

  NPD (past)
• Wellness Legacy LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
  • NPI 1265039549
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1093420283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 13-14B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 13-14B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268",
            "telephone_number": "410-286-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS REYES",
        "first_name": "PHOEBE GENE",
        "middle_name": "BAUTISTA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R211960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary A Dehn, LCSW-C
• C. Scott Dehorty, LCSW-C
• Caitlyn Del Colliano
• Janis Dellman, MSW
• Sydney Alexis Deloach, LMT
• Claire Elizabeth Delp
• Johanna Deluigi
• Samantha Demarco, M.S.
• Melissa Beth Dempsey-Connolly, O.D.
• Gerald Lee Denlinger

• Psychiatric/Mental Health Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.