Active NPI
Magdalena Reyes, MD
- Psychiatry Physician
- Needham, MA
National Provider Identifier
1487979514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 266544
- Practice address
- 1000 Great Plain Ave Ste 3
Needham, MA 02492-2560 - Phone
- (781) 474-0044
- Fax
- (781) 577-9377
- NPI assigned
- Mar 31, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 266544 | MA | Primary |
Addresses
Primary practice location
1000 Great Plain Ave Ste 3
Needham, MA 02492-2560
Mailing address
1000 Great Plain Ave Ste 3
Needham, MA 02492-2560
Phone (781) 474-0044
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266544 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1487979514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GREAT PLAIN AVE STE 3",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922560",
"telephone_number": "781-474-0044",
"fax_number": "781-577-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GREAT PLAIN AVE STE 3",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922560",
"telephone_number": "781-474-0044",
"fax_number": "781-577-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MAGDALENA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "266544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.