Active NPI
Thor-Alcyone L Reyes, MD
- Psychiatry Physician
- Woodland Hills, CA
National Provider Identifier
1811092596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C38408
- Practice address
- 5353 Topanga Canyon Blvd
Suite 100
Woodland Hills, CA 91364-1737 - Phone
- (818) 704-1579
- Fax
- (818) 704-8790
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C38408 | CA | Primary |
Addresses
Primary practice location
5353 Topanga Canyon Blvd
Suite 100
Woodland Hills, CA 91364-1737
Mailing address
5353 Topanga Canyon Blvd
Suite 100
Woodland Hills, CA 91364-1737
Phone (818) 704-1579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C384080 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C38408 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atman R Reyes MD Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1811092596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 TOPANGA CANYON BLVD",
"address_2": "SUITE 100",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641737",
"telephone_number": "818-704-1579",
"fax_number": "818-704-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 TOPANGA CANYON BLVD",
"address_2": "SUITE 100",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641737",
"telephone_number": "818-704-1579",
"fax_number": "818-704-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "THOR-ALCYONE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C38408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C384080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.