Active NPI
Marc E. Wilmes-Reitz, PH.D.
- Psychologist
- Calabasas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 9368
- Practice address
- 23945 Calabasas Rd
#202
Calabasas, CA 91302-1552 - Phone
- (818) 591-8270
- Fax
- (818) 591-8271
- NPI assigned
- Jun 17, 2006
- Last updated
- Feb 21, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 9368 | CA | Primary |
Addresses
Primary practice location
23945 Calabasas Rd
#202
Calabasas, CA 91302-1552
Mailing address
23945 Calabasas Rd
#202
Calabasas, CA 91302-1552
Phone (818) 591-8270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
23945 Calabasas Rd
Suite 202
Calabasas, CA 91302-1520
Phone (818) 591-8270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9368 | CA | MD | Psychologist |
| 9368 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Wimes-Reitz PH.D. | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Calabasas, CA
- NPI 1629286943
-
- Psychologist
- Calabasas, CA
- NPI 1831131192
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1568407427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23945 CALABASAS RD",
"address_2": "#202",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021552",
"telephone_number": "818-591-8270",
"fax_number": "818-591-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23945 CALABASAS RD",
"address_2": "#202",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021552",
"telephone_number": "818-591-8270",
"fax_number": "818-591-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMES-REITZ",
"first_name": "MARC",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 9368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.