Active NPI
Diane Reis, PSY.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1699084137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 1000628
- Practice address
- 50 E St SE Ste 300
Washington, DC 20003-2620 - Phone
- (202) 577-8183
- Fax
- (301) 320-7945
- NPI assigned
- Oct 1, 2010
- Last updated
- Oct 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 1000628 | DC | Primary |
| Clinical Psychologist | 103TC0700X | 0810004248 | VA |
Addresses
Primary practice location
50 E St SE Ste 300
Washington, DC 20003-2620
Mailing address
50 E Street, SE, #300
Washington, DC 20003-2620
Phone (202) 577-8183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 16, 2022 through Mar 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 1000628 | DC | MD | Clinical Psychologist |
| 0810004248 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1699084137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E STREET, SE, #300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032620",
"telephone_number": "202-577-8183",
"fax_number": "301-320-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E ST SE STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032620",
"telephone_number": "202-577-8183",
"fax_number": "301-320-7945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY 1000628",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004248",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.