Joachim Reimann, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 15825 Issued in CA

Practice address

690 Otay Lakes Rd Ste 210
Chula Vista, CA 91910-8904

Phone

(619) 991-0592

Fax

(619) 955-5790

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Professional and Personal Excellence International

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1205143807
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1154422087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 OTAY LAKES RD STE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108904",
            "telephone_number": "619-991-0592",
            "fax_number": "619-955-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OTAY LAKES RD STE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108904",
            "telephone_number": "619-991-0592",
            "fax_number": "619-955-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMANN",
        "first_name": "JOACHIM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY158250",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "joe@life-walk.com",
            "affiliation": "N",
            "endpointDescription": "secure server email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "690 Otay Lakes Rd Ste 210",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919108904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronald William Reichard, M.A.
• Brittany Sue Reid, M.A. CCC-SLP
• Janeen Rose Reid, LMFT
• Noel Reid
• Trystin Reid
• James Reiser Jr.
• Stephanie Reittinger, NP
• Marissa Rejana
• Reliable Home Care of San Diego LLC
• Ness Rells

• Clinical Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.