Individual provider Active NPI

Ronald S Reiter, PHD

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1578670618
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7895 Issued in CA
Practice address
9401 Wilshire Blvd
Ste 730
Beverly Hills, CA 90212-2920
Phone
(310) 273-3060
Fax
(310) 273-1127
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7895 CA Primary

Addresses

Primary practice location

9401 Wilshire Blvd
Ste 730
Beverly Hills, CA 90212-2920

Mailing address

9401 Wilshire Blvd
Ste 730
Beverly Hills, CA 90212-2920
Phone (310) 273-3060

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
I20050518001251 CA Practitioner - Clinical Psychologist 1557302635 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9401 Wilshire Blvd
Beverly Hills, CA 90212-2946
Phone (310) 273-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7895CAMDClinical Psychologist
7895CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Ellenberg, PH.D. and Associates Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1578670618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "STE 730",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122920",
            "telephone_number": "310-273-3060",
            "fax_number": "310-273-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "STE 730",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122920",
            "telephone_number": "310-273-3060",
            "fax_number": "310-273-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "RONALD",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.