Carolyn M. Rekerdres, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N1099 Issued in TX

Practice address

8915 Harry Hines Blvd
Dallas, TX 75235-1717

Phone

(214) 351-3490

NPI assigned

Jun 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Psychiatry

Education

University of Texas Medical Branch at Galveston, 2006

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pecan Valley MHMR RegionGroup PAC ID 4688627706, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Pecan Valley MHMR Region

  • Community/Behavioral Health Agency
  • Granbury, TX
  • NPI 1891915708

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Andrews Center

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1821064742

  Psychiatry

  Medicare reassignment NPD
• Burke Center

  • Psychiatry Physician
  • Lufkin, TX
  • NPI 1396792420
  Medicare reassignment NPD
• Camino Real Community MHMR Center

  • Case Management Agency
  • Lytle, TX
  • NPI 1154411262
  Medicare reassignment NPD
• Collin County Mental Health Mental Retardation Center

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1871576835

  Psychiatry

  Medicare reassignment NPD
• Bluebonnet Trails Community MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864
  Medicare reassignment
• Andrews Center -Pinkerton

  • Social Worker
  • Tyler, TX
  • NPI 1538604715
  NPD
• Pecan Valley MHMR Region

  • Primary Care Nurse Practitioner
  • Cleburne, TX
  • NPI 1285342295
  NPD
• Texana Center

  • Multi-Specialty Clinic/Center
  • Rosenberg, TX
  • NPI 1912954058
  NPD
• Burke Center

  • Developmental Disabilities Clinic/Center
  • Lufkin, TX
  • NPI 1164572772
  NPD (past)
• Emergency Psychiatric Medicine, PLLC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1558538520
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1104020346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351717",
            "telephone_number": "214-351-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351717",
            "telephone_number": "214-351-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKERDRES",
        "first_name": "CAROLYN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N1099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0026072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Reitmeyer Sr.
• Sonal Reitmeyer
• Jacob Pierce Reitnauer
• Reitz Enterprises of Texas, Inc.
• Iwona Rej
• Rekindle Mind
• Relational Therapy Collective
• Relationship Resolutions
• Relationship Resolutions
• Relative Care at Home Agency LLC

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.