Reyes Psychology, Apc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19734 Issued in CA

Legal business name

REYES PSYCHOLOGY, APC

Practice address

3149 3Rd Ave
San Diego, CA 92103-5613

Phone

(858) 361-1989

Fax

(858) 373-2148

NPI assigned

Aug 27, 2008

Last updated

May 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael M Reyes, PSY.D.NPI 1124068150

Title

Owner

Phone

(858) 361-1989

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael M Reyes, PSYD

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1124068150
  Authorized official Same address or phone
• Colleen Auth, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1598022907
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1710134143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035613",
            "telephone_number": "858-361-1989",
            "fax_number": "858-373-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035613",
            "telephone_number": "858-361-1989",
            "fax_number": "858-373-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES PSYCHOLOGY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-361-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gizem Meliha Reyal
• Melissa Reyerson-Slifer, LMSW
• Karen Michelle Reyes Arana, MSW
• Jacqueline Reyes Hinojosa
• Mariah Reyes Mercado
• Ana Reyes Romero
• Cassandra Reyes-Bosley
• Elisabet Reyes-Chea
• Daisy Reyes-Cotton
• Rafael M Reyes-Flores, APCC

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.