Active NPI
Joseph Reyes
- School Psychologist
- San Leandro, CA
National Provider Identifier
1730856956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 13050 Aurora Dr
San Leandro, CA 94577-3159 - Phone
- (510) 618-4300
- NPI assigned
- Aug 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
13050 Aurora Dr
San Leandro, CA 94577-3159
Mailing address
1163 Fulton Ave
Vallejo, CA 94591-8005
Phone (707) 315-7030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1730856956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 FULTON AVE",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918005",
"telephone_number": "707-315-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13050 AURORA DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773159",
"telephone_number": "510-618-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.