Keita Cybele Reid, PPS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

2121 Imola Ave
Napa, CA 94559-3625

Phone

(707) 253-6810

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keita Cybele Marnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1932959186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4526",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939214526",
            "telephone_number": "831-250-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 IMOLA AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593625",
            "telephone_number": "707-253-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KEITA",
        "middle_name": "CYBELE",
        "name_prefix": "Ms.",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITA",
            "last_name": "MARNELL",
            "middle_name": "CYBELE",
            "credential": "PPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy A Reeves, LMFT
• Carrington Reher
• John Reichel, M.D.
• Joseph Kirkwood Reid Jr., M.D.
• Kathryn J. Reid, MD
• Samantha Reid
• Sierra Reid
• Charlene Reilly, FNP
• Rachel D Reindl, RN, PHN
• Paul James Reiser

• School Psychologist in Napa, CA
• Providers in Napa, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.