Individual provider Active NPI

Reeta Kumar

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1477719920
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2021 Fillmore St Ste 9009
San Francisco, CA 94115-2708
Phone
(925) 979-5530
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2021 Fillmore St Ste 9009
San Francisco, CA 94115-2708

Mailing address

2021 Fillmore St Ste 9009
San Francisco, CA 94115-2708

Other practice location 1

3179 College Ave
Berkley, CA 94705
Phone (925) 979-5530

Other practice location 2

2712 Telegraph Ave
Berkeley, CA 94705-1117
Phone (510) 548-8283 ext. 519

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.reetahernes.com

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Center for Human Growth Past Accepting new patients
Pacific Center for Human Growth PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1477719920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 FILLMORE ST STE 9009",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 FILLMORE ST STE 9009",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152708",
            "telephone_number": "925-979-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3179 College Ave",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "CA",
            "postal_code": "94705",
            "country_code": "US",
            "telephone_number": "925-979-5530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2712 Telegraph Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947051117",
            "country_code": "US",
            "telephone_number": "510-548-8283 x519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "REETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.reetahernes.com",
            "affiliation": "N",
            "address_1": "2021 Fillmore St # 9009",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941152708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.