Suzanne Reynaud-Roepke, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LEP3636 Issued in CA

Practice address

15951 Los Gatos Blvd Ste 6
Los Gatos, CA 95032-3428

Phone

(408) 358-1853

Fax

(408) 358-1802

NPI assigned

Feb 21, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Center for Developing Minds Medical Corporation

  • Developmental - Behavioral Pediatrics Physician
  • Los Gatos, CA
  • NPI 1083748248
  NPD (past)
• Robert B Dibble

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bishop, CA
  • NPI 1417076563
  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1104383579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 LILY WAY APT 307",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951343496",
            "telephone_number": "760-937-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD STE 6",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323428",
            "telephone_number": "408-358-1853",
            "fax_number": "408-358-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNAUD-ROEPKE",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP3636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Psychiatry
• Jennifer Rettick
• Anthony Reyes-Hernandez
• Faith Joleen Reyes, LMFT
• Jenzy Dayana Reyes
• Suzanne Ribbe, PT
• Richard a. Bobis, M.D., Inc.
• Richard M Meltzer, DPM
• Richard P. Carr Physical Therapy Inc
• Rufus Henry Richards, M.D.

• Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.