Individual provider Active NPI

Denise Reeves, PSY.D.

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1366537698
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29995 Issued in CA
Practice address
511 Saxony PL Ste 101-C
Encinitas, CA 92024-2871
Phone
(760) 635-3310
Fax
(760) 230-9291
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20042124A IN
Psychologist 103T00000X 071007128 IL
Clinical Psychologist 103TC0700X PSY29995 CA Primary

Addresses

Primary practice location

511 Saxony PL Ste 101-C
Encinitas, CA 92024-2871

Mailing address

PO Box 895
Cardiff by the Sea, CA 92007-0895
Phone (760) 635-3310

Other identifiers 1

IdentifierTypeStateIssuer
PSY29995OtherCACA PSYCHOLOGY LICENSE NUMBER

Other names 1

  • Ms. Denise Bigica Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071007128ILMDPsychologist
20042124AINMDPsychologist
PSY29995CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1366537698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920070895",
            "telephone_number": "760-635-3310",
            "fax_number": "760-230-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SAXONY PL STE 101-C",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242871",
            "telephone_number": "760-635-3310",
            "fax_number": "760-230-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042124A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071007128",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PSYCHOLOGY LICENSE NUMBER",
            "identifier": "PSY29995",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "BIGICA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.