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DR. DEANNA REARDON PSY.D.
NPI 1225125826
Psychologist - Clinical in Nevada City, CA

Active since October 06, 2006Opted out of Medicare · through Apr 1, 2027
123 NEVADA ST, NEVADA CITY, CA 95959(510) 420-8092(206) 350-0343 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Deanna Reardon Psy.d. NPPES

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

DR. DEANNA REARDON PSY.D. (NPI 1225125826) is an individual clinical provider in Nevada City, California, licensed in California (19231) and active in the NPI registry since October 2006. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1225125826
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DEANNA REARDONCredential: PSY.D.
Location Address123 NEVADA STNevada City, CA 95959-2603
Mailing Address3852 Piedmont AveOakland, CA 94611-5353 · (510) 420-8092
Phone(510) 420-8092
Fax(206) 350-0343
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateOctober 15, 2015
✔ NPI 1225125826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 19231
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
123 NEVADA ST, Nevada City, CA 95959
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Deanna Reardon Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Deanna Reardon's NPI number?

The NPI number for Deanna Reardon is 1225125826. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Deanna Reardon located?

Deanna Reardon practices at 123 Nevada St, Nevada City, CA 95959. The listed phone number is (510) 420-8092.

What is Deanna Reardon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Deanna Reardon enrolled in Medicare?

No. Deanna Reardon has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Deanna Reardon was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.