Active NPI
Camille Suzanne Reineke, PHD
- Psychologist
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY18079
- Practice address
- 6809 Indiana Ave Ste 140
Riverside, CA 92506-4221 - Phone
- (951) 633-9270
- Fax
- (951) 210-7275
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY18079 | CA | Primary |
Addresses
Primary practice location
6809 Indiana Ave Ste 140
Riverside, CA 92506-4221
Mailing address
6809 Indiana Ave Ste 140
Riverside, CA 92506-4221
Phone (951) 633-9270
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260
5887 Brockton Ave
Suite a
Riverside, CA 92506-1858
Phone (951) 275-8500
6809 Indiana Ave
Suite 140
Riverside, CA 92506-4221
Phone (951) 633-9270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18079 | CA | MD | Psychologist |
| 18079 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Psychiatric Medical Group | Current | Accepting new patients | |
| Camille S Reineke Psychology Consulting Professional Corporatio | Current | Accepting new patients | |
| Sud Specialty Group - Ca | Current | Accepting new patients |
Locations
5887 Brockton Ave
Ste A
Riverside, CA 92506
Phone (909) 275-8500
6809 Indiana Ave
Ste 140
Riverside, CA 92506
Phone (530) 273-1112
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Riverside, CA
- NPI 1346113982
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverside, CA
- NPI 1972691228
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772323200000",
"number": "1336243401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6809 INDIANA AVE STE 140",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064221",
"telephone_number": "951-633-9270",
"fax_number": "951-210-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6809 INDIANA AVE STE 140",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064221",
"telephone_number": "951-633-9270",
"fax_number": "951-210-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINEKE",
"first_name": "CAMILLE",
"middle_name": "SUZANNE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2026-03-01",
"certification_date": "2026-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY18079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; 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.