DR. REGINALD NETTLES PHD
NPI 1639342348
Psychologist - Clinical in Columbia, MD

Active since April 02, 2008Opted out of Medicare · through Apr 1, 2027
6217 IRONWOOD WAY, COLUMBIA, MD 21045(410) 290-7999(443) 583-2353 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Reginald Nettles Phd NPPES

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

DR. REGINALD NETTLES PHD (NPI 1639342348) is an individual clinical provider in Columbia, Maryland, licensed in Maryland (02642) and active in the NPI registry since April 2008. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639342348
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. REGINALD NETTLESCredential: PHD
Location Address6217 IRONWOOD WAYColumbia, MD 21045-4466
Mailing Address6217 Ironwood WayColumbia, MD 21045-4466 · (410) 290-7999 · Fax (443) 583-2353
Fax(443) 583-2353
Sole ProprietorYes
Enumeration DateApril 2, 2008
NPI 1639342348 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 MD · 02642
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.

6217 IRONWOOD WAY, Columbia, MD 21045

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. Reginald Nettles Phd 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, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21045 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Reginald Nettles's NPI number?

The NPI number for Reginald Nettles is 1639342348. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Reginald Nettles located?

Reginald Nettles practices at 6217 Ironwood Way, Columbia, MD 21045. The listed phone number is (410) 290-7999.

What is Reginald Nettles's specialty?

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

Is Reginald Nettles enrolled in Medicare?

No. Reginald Nettles 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. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Reginald Nettles was last updated on April 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.