Individual provider Active NPI

Graciela Reyes-McDonald, LP

  • Psychologist
  • The Woodlands, TX
National Provider Identifier
1619398989
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36546 Issued in TX
Practice address
26010 Oak Ridge Dr Ste 107
The Woodlands, TX 77380-1972
Phone
(281) 815-0899
NPI assigned
Jan 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36546 TX Primary

Addresses

Primary practice location

26010 Oak Ridge Dr Ste 107
The Woodlands, TX 77380-1972

Mailing address

26010 Oak Ridge Dr Ste 107
The Woodlands, TX 77380-1972
Phone (281) 815-0899

Other practice location 1

5525 Erindale Dr Ste 260A
Colorado Springs, CO 80918-6962
Phone (281) 815-0899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20200604001939 TX Practitioner - Clinical Psychologist 5496074072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36546TXMDDentist

Organizations & group practices 2

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": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1619398989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26010 OAK RIDGE DR STE 107",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801972",
            "telephone_number": "281-815-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26010 OAK RIDGE DR STE 107",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801972",
            "telephone_number": "281-815-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Erindale Dr Ste 260A",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186962",
            "country_code": "US",
            "telephone_number": "281-815-0899",
            "fax_number": "281-528-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES-MCDONALD",
        "first_name": "GRACIELA",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.