Individual provider Active NPI

Robert E. Reichlin, PH.D.

  • Health Service Psychologist
  • Bellaire, TX
National Provider Identifier
1639345218
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
22788 Issued in TX
Practice address
4500 Bissonnet St Ste 335
Bellaire, TX 77401-3006
Phone
(713) 666-6898
Fax
(713) 666-5571
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 22788 TX Primary

Addresses

Primary practice location

4500 Bissonnet St Ste 335
Bellaire, TX 77401-3006

Mailing address

4500 Bissonnet St Ste 335
Bellaire, TX 77401-3006
Phone (713) 666-6898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110324000821 TX Practitioner - Clinical Psychologist 2466635628 Practice locations: Bellaire, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22788TXMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1639345218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BISSONNET ST STE 335",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013006",
            "telephone_number": "713-666-6898",
            "fax_number": "713-666-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BISSONNET ST STE 335",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013006",
            "telephone_number": "713-666-6898",
            "fax_number": "713-666-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHLIN",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "22788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.