MARY BEATRICE REYES PH.D.
NPI 1124351473
Psychologist - Clinical Child & Adolescent in Miami, FL

Active since September 17, 2009PECOS EnrolledAccepts Medicare Assignment
1009 NW 5TH AVE, JEFFERSON REAVES HEALTH CENTER, MIAMI, FL 33136(786) 466-4000(305) 585-4405 Get Directions Write a Review

NPPES record last updated: February 9, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Beatrice Reyes Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BEATRICE REYES PH.D. (NPI 1124351473) is an individual clinical child & adolescent provider in Miami, Florida, licensed in Florida (PY7474) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1124351473
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameMARY BEATRICE REYESCredential: PH.D.
Location Address1009 NW 5TH AVE, JEFFERSON REAVES HEALTH CENTERMiami, FL 33136-3212
Mailing Address1009 Nw 5th Ave, Jefferson Reaves Health CenterMiami, FL 33136-3212 · (786) 466-4000 · Fax (305) 585-4405
Fax(305) 585-4405
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 17, 2009
Last NPPES UpdateFebruary 9, 2015
✔ NPI 1124351473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in FL · PY7474
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License PY7474 (FL)
1009 NW 5TH AVE, Miami, FL 33136

Other Names 1

Professional Name (2)Mary Beatrice Reyes Ph.d., P.a.

Other Identifiers 1

Other472993025FL · Tax Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Beatrice Reyes Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698075760
PECOS Enrollment IDI20151120001348
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Reyes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1009 NW 5TH AVE
MIAMI, FL 33136
Family Medicine
1009 NW 5TH AVE
MIAMI, FL 33136
Family Medicine
1009 NW 5TH AVE
MIAMI, FL 33136
Clinic/Center (Multi-Specialty)
1009 NW 5TH AVE
MIAMI, FL 33136
Nurse Practitioner
1009 NW 5TH AVE
MIAMI, FL 33136
Dietitian, Registered
1009 NW 5TH AVE
MIAMI, FL 33136
Psychologist
1009 NW 5TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Reyes's NPI number?

The NPI number for Mary Reyes is 1124351473. It was assigned to this individual provider in the NPPES registry on September 17, 2009. The provider is also known as Mary Beatrice Reyes Ph.D., P.A..

Where is Mary Reyes located?

Mary Reyes practices at 1009 NW 5th Ave Jefferson Reaves Health Center, Miami, FL 33136. The listed phone number is (786) 466-4000.

What is Mary Reyes's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Mary Reyes enrolled in Medicare?

Yes. Mary Reyes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Reyes reassigns Medicare benefits to 2 organizations: Mtca Psychological Services P.A. (North Miami Beach, FL) and Senior Living Memory Health, Inc. (North Miami Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Reyes was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.