Petagaye Latoya Reyes, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP027047 Issued in PA

Practice address

9150 Marshall St Ste 14
Philadelphia, PA 19114-2217

Phone

(215) 539-2470

Fax

(215) 539-2470

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Holcomb Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Exton, PA
  • NPI 1083670590
  Medicare reassignment NPD
• Holcomb Associates, Inc

  • Community/Behavioral Health Agency
  • Bethlehem, PA
  • NPI 1346061595
  NPD
• Holcomb Associates, Inc.

  • Community/Behavioral Health Agency
  • Wyomissing,, PA
  • NPI 1144572074
  NPD
• Harmony Wellness Group Inc

  • Group Psychotherapy Psychologist
  • Philadelphia, PA
  • NPI 1760902753
  NPD (past)

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1508563479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST STE 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-539-2470",
            "fax_number": "215-240-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST STE 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-539-2470",
            "fax_number": "215-539-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "PETAGAYE",
        "middle_name": "LATOYA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN553029",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Reyes, OT
• Jose Napoleon Reyes III, AU.D.
• Lori L Reyes, BS
• Madelyn Reyes, RN
• Maria Janet Reyes, M.S.
• Rachel Reyes
• Raymond Paul Reyes, PA-C
• Sharita Reyes
• Dorrin Reyhani
• Kara L Reymann, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.