Samuelle Klein Von-Reiche, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100324600 Issued in NJ

Practice address

122 E Ridgewood Ave
Paramus, NJ 07652-4038

Phone

(201) 556-8210

Fax

(201) 483-8071

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Elite Network Psychotherapy

  • Cognitive & Behavioral Psychologist
  • Ridgewood, NJ
  • NPI 1568262426
  NPD (past) Authorized official
• The Center for Transformation Health and Wellness LLC

  • Family Nurse Practitioner
  • Ridgewood, NJ
  • NPI 1184373359
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1821112061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524038",
            "telephone_number": "201-556-8210",
            "fax_number": "201-483-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524038",
            "telephone_number": "201-556-8210",
            "fax_number": "201-483-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN VON-REICHE",
        "first_name": "SAMUELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100324600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeseong David Kim, MD
• Jamielee B Kinard, AGNP
• Susan M King, PT
• Robert Vartkis Kinoian, DMD
• Tammarra Davon Kirkland, LSW
• Gregg Klein, MD
• Dawn Marie Klose, DC
• Allyson Kloss
• Jessica Pauline Knight, APN
• Naquisha L Knights, PA-C

• Clinical Psychologist in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.