Active NPI
Monica Reynoso, PSY.D.
- Psychologist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 747 52ND St
Oakland, CA 94609-1809 - Phone
- (510) 428-3885
- Fax
- (510) 238-9764
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY24714 | CA | |
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
747 52ND St
Oakland, CA 94609-1809
Mailing address
747 52ND St
Oakland, CA 94609-1809
Phone (925) 876-4049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24714 | CA | MD | Psychologist |
| 24714 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Psychiatry | Psychologist | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients |
Locations
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
5220 Claremont Ave
Oakland, CA 94618
Phone (510) 428-3129
5275 Claremont Ave
Oakland, CA 94618
Phone (510) 428-3050
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500
401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
Organizations & group practices 6
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.
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1104024140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 52ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "925-876-4049",
"fax_number": "510-238-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3885",
"fax_number": "510-238-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "MONICA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2023-12-12",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY24714",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.