DR. MICHAEL REYES MEDRANO PHD
NPI 1386382372
Psychologist - Clinical in Surprise, AZ

Q: What is Michael Medrano's NPI number?

The NPI number for Michael Medrano is 1386382372. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Q: What is Michael Medrano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Medrano was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 20, 2022PECOS EnrolledAccepts Medicare Assignment

17014 W BELL RD STE 100, SURPRISE, AZ 85374(623) 866-4484(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, May 20, 2022 (2 updates tracked since 2022).

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About Dr. Michael Reyes Medrano Phd NPPES

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

DR. MICHAEL REYES MEDRANO PHD (NPI 1386382372) is an individual clinical provider in Surprise, Arizona, licensed in Arizona (PSY-005525) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386382372

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL REYES MEDRANOCredential: PHD

Location Address17014 W BELL RD STE 100Surprise, AZ 85374-2479

Mailing Address17014 W Bell Rd Ste 100Surprise, AZ 85374-2479 · Fax (415) 252-7176

Phone(623) 866-4484

Fax(415) 252-7176

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 20, 2022

Last NPPES UpdateApril 18, 20252 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1386382372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in AZ · PSY-005525✔ Licensed in NM · PSY-2022-0046

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.

17014 W BELL RD STE 100, Surprise, AZ 85374

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Reyes Medrano Phd 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 ID7214318823

PECOS Enrollment IDI20220713003566, I20241112002113, I20250110000296

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

63 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

LISA ANN STEINBERGER APRN FNP-BC

Nurse Practitioner (Family)