Active NPI
Reyes Psychological Family Services, PHD LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
National Provider Identifier
1114521515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REYES PSYCHOLOGICAL FAMILY SERVICES, PHD LLC
- Practice address
- 2012 W Van Beck Way
Milwaukee, WI 53221-1957 - Phone
- (414) 465-2322
- NPI assigned
- Nov 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Fritsch
- Title
- Credentialing and Billing Manager
- Phone
- (414) 793-4277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2012 W Van Beck Way
Milwaukee, WI 53221-1957
Mailing address
PO Box 381
Sturtevant, WI 53177-0381
Phone (414) 465-2322
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Milwaukee, WI
- NPI 1326372178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620345600000",
"number": "1114521515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381",
"city": "STURTEVANT",
"state": "WI",
"postal_code": "531770381",
"telephone_number": "414-465-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 W VAN BECK WAY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532211957",
"telephone_number": "414-465-2322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REYES PSYCHOLOGICAL FAMILY SERVICES, PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-25",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A",
"authorized_official_last_name": "FRITSCH",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "CREDENTIALING AND BILLING MANAGER",
"authorized_official_telephone_number": "414-793-4277"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.