Organization Active NPI

Anne Reyhan Psychotherapist a Professional Corporation

  • Psychologist
  • Chino Hills, CA
National Provider Identifier
1306139183
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23987 Issued in CA
Legal business name
ANNE REYHAN PSYCHOTHERAPIST A PROFESSIONAL CORPORATION
Practice address
14708 Pipeline Ave Ste B
#219
Chino Hills, CA 91709-1296
Phone
(909) 393-8585
Fax
(909) 393-8566
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Anne Reyhan, PSYDNPI 1851454425
Title
Owner
Phone
(909) 364-1396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY23987 CA Primary

Addresses

Primary practice location

14708 Pipeline Ave Ste B
#219
Chino Hills, CA 91709-1296

Mailing address

14708 Pipeline Ave Ste B
Chino Hills, CA 91709-1296
Phone (909) 393-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110725000256 CA Part B Supplier - Clinic/Group Practice 1153599832 Receives reassigned benefits from 1 practitioner
Practice locations: Covina, CA; Chino Hills, CA

National Provider Directory

National Provider Directory

Locations

166 W College St
Ste A
Covina, CA 91723
Phone (626) 938-7112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1306139183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14708 PIPELINE AVE STE B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091296",
            "telephone_number": "909-393-8585",
            "fax_number": "909-393-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14708 PIPELINE AVE STE B",
            "address_2": "#219",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091296",
            "telephone_number": "909-393-8585",
            "fax_number": "909-393-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE REYHAN PSYCHOTHERAPIST A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "REYHAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-364-1396",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.