Individual provider Active NPI

Maria Andrea Reinking, PH.D.

  • Marriage & Family Therapist
  • Fayetteville, NY
National Provider Identifier
1942416599
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000527 Issued in NY
Practice address
117 Highbridge St
Suite U-4
Fayetteville, NY 13066-1948
Phone
(315) 254-8280
Fax
(315) 299-8671
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000527 NY Primary

Addresses

Primary practice location

117 Highbridge St
Suite U-4
Fayetteville, NY 13066-1948

Mailing address

6205 Beaver Run
Jamesville, NY 13078-9558
Phone (315) 254-8280

Other identifiers 1

IdentifierTypeStateIssuer
13-4347524OtherNYTAX IDENTIFICATION NUMBER

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000527NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1942416599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 BEAVER RUN",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789558",
            "telephone_number": "315-254-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HIGHBRIDGE ST",
            "address_2": "SUITE U-4",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661948",
            "telephone_number": "315-254-8280",
            "fax_number": "315-299-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKING",
        "first_name": "MARIA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "13-4347524",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.