Individual provider Active NPI

Reynold Nadao Fujikawa, PSY.D.

  • Clinical Psychologist
  • Dublin, CA
National Provider Identifier
1831403526
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26783 Issued in CA
Practice address
6937 Village Parkway #2713
Dublin, CA 94568
Phone
(925) 307-6875
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26783 CA Primary

Addresses

Primary practice location

6937 Village Parkway #2713
Dublin, CA 94568

Mailing address

6937 Village Parkway #2713
Dublin, CA 94568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204002474 CA Practitioner - Clinical Psychologist 5799000246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portia Bell Hume Behavioral Health and Training CenterGroup PAC ID 0547251688, 11 clinicians

Practice addresses (Care Compare)

1333 Willow Pass Rd
Suite 102
Concord, CA 94520-5225
Phone (925) 825-1793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY26783CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Portia Bell Hume Behavioral Health & Training Center CurrentSince Nov 22, 2016 Accepting new patients
Portia Bell Hume Behavioral Health and Training Center Current Accepting new patients
Portia Bell Hume Behavioral Health and Training Center CurrentSince Nov 22, 2016 Accepting new patients

Locations

1333 Willow Pass Rd
Ste 102
Concord, CA 94520
Phone (925) 338-7928

Organizations & group practices 3

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": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1831403526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6937 VILLAGE PARKWAY #2713",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 VILLAGE PARKWAY #2713",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568",
            "telephone_number": "925-307-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIKAWA",
        "first_name": "REYNOLD",
        "middle_name": "NADAO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.