Individual provider Active NPI

Teresa Nadine Viles-Reed, PHD.

  • Psychologist
  • Manteca, CA
National Provider Identifier
1386762623
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
#PSY14848 Issued in CA
Practice address
129 E. Center St Suite 3
129 E. Center St. Suite 3
Manteca, CA 95337-8715
Phone
(209) 239-5553
Fax
(209) 239-5978
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X #PSY14848 CA Primary

Addresses

Primary practice location

129 E. Center St Suite 3
129 E. Center St. Suite 3
Manteca, CA 95337-8715

Mailing address

129 E Center St Ste 3
Manteca, CA 95336-4648
Phone (209) 239-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
#PSY14848CAMDPsychologist
14848CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin County Behavioral Health Services CurrentSince Dec 15, 2024 Accepting new patients
County of San Joaquin CurrentSince Dec 15, 2024 Accepting new patients
San Joaquin Behavioral Health Services Psychologist Current Accepting new patients
Valley Community Counseling Services, Inc Past Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1386762623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E CENTER ST STE 3",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364648",
            "telephone_number": "209-239-5553",
            "fax_number": "209-239-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E. CENTER ST SUITE 3",
            "address_2": "129 E. CENTER ST. SUITE 3",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378715",
            "telephone_number": "209-239-5553",
            "fax_number": "209-239-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILES-REED",
        "first_name": "TERESA",
        "middle_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "#PSY14848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.