Organization Active NPI

Reine Evereteze, PSYD, LLC

  • Clinical Psychologist
  • Lakewood, CO
National Provider Identifier
1639607336
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
REINE EVERETEZE, PSYD, LLC
Practice address
8015 W Alameda Ave Ste 230
Lakewood, CO 80226-3076
Phone
(303) 202-6143
Fax
(303) 202-6146
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Authorized official

Name
Reine Evereteze, PSY.D.NPI 1386177392
Title
Psychologist
Phone
(303) 931-7137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8015 W Alameda Ave Ste 230
Lakewood, CO 80226-3076

Mailing address

8015 W Alameda Ave Ste 230
Lakewood, CO 80226-3076
Phone (303) 202-6143

Other names 1

  • Reine Evereteze, Psy.D., LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170821000631 CO Part B Supplier - Clinic/Group Practice 5890067201 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1639607336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 W ALAMEDA AVE STE 230",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263076",
            "telephone_number": "303-202-6143",
            "fax_number": "303-202-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 W ALAMEDA AVE STE 230",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263076",
            "telephone_number": "303-202-6143",
            "fax_number": "303-202-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINE EVERETEZE, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "EVERETEZE",
        "authorized_official_first_name": "REINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-931-7137",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reine Evereteze, Psy.D., LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Reine Evereteze, Psy.D., LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.