Individual provider Active NPI

Maria T. Reis, M.D.

  • Psychiatry Physician
  • Plymouth Meeting, PA
National Provider Identifier
1124195680
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD034414E Issued in PA
Practice address
1041 Germantown Pike
Plymouth Meeting, PA 19462-2449
Phone
(610) 270-0700
Fax
(610) 270-0202
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD034414E PA Primary

Addresses

Primary practice location

1041 Germantown Pike
Plymouth Meeting, PA 19462-2449

Mailing address

1041 Germantown Pike
Plymouth Meeting, PA 19462-2449
Phone (610) 270-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20090623000340 PA Practitioner - Psychiatry 3375694847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
T.W. Ponessa and Associates Counseling Services, Inc.Group PAC ID 7810991924, 19 clinicians
Alternative Consulting Enterprises LLC.Group PAC ID 1759359540, 9 clinicians

Practice addresses (Care Compare)

1041 Germantown Pike
Plymouth Meeting, PA 19462-2449
Phone (610) 270-0700

15 S 9TH St
Lebanon, PA 17042-5104
Phone (717) 273-5992

410 N Prince St
Lancaster, PA 17603-3010
Phone (717) 560-7917

527 E Lancaster Ave
Shillington, PA 19607-1364
Phone (610) 796-8110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
T.W. Ponessa & Associates Counseling Services, Inc. CurrentSince May 19, 2009 Accepting new patients
Alternative Consulting Enterprises LLC CurrentSince Apr 1, 2021 Accepting new patients
Plymouth Psychiatric Associates PC Psychiatry CurrentSince Sep 30, 1987 Accepting new patients
Philadelphia School of Psychoanalysis Past Accepting new patients

Locations

410 N Prince St
Lancaster, PA 17603

15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992

1041 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 270-0700

527 E Lancaster Ave
Shillington, PA 19607
Phone (610) 796-8110

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1124195680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622449",
            "telephone_number": "610-270-0700",
            "fax_number": "610-270-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622449",
            "telephone_number": "610-270-0700",
            "fax_number": "610-270-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "MARIA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD034414E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.