Individual provider Active NPI

Marc E. Wilmes-Reitz, PH.D.

  • Psychologist
  • Calabasas, CA
National Provider Identifier
1568407427
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 9368 Issued in CA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002583 CA Practitioner - Clinical Psychologist 7315099736 Receives reassigned benefits from 2 practitioners
Practice locations: Calabasas, CA

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

LicenseStateTypeSpecialty
PSY 9368CAMDPsychologist
9368CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Wimes-Reitz PH.D. PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.