Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRISCILLA M REINICKE
NPI 1679097612
Psychologist in Fairfield, CA

Active since August 01, 2017PECOS Enrolled
1550 GATEWAY BLVD, FAIRFIELD, CA 94533(707) 427-4000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Aug 1, 2017 (2 updates tracked since 2017).

About Dr. Priscilla M Reinicke NPPES

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

DR. PRISCILLA M REINICKE (NPI 1679097612) is an individual psychologist in Fairfield, California, licensed in California (PSY34802) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679097612
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. PRISCILLA M REINICKE
Location Address1550 GATEWAY BLVDFairfield, CA 94533-6900
Mailing Address1550 Gateway BlvdFairfield, CA 94533-6901 · (707) 421-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 1, 2017
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1679097612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY34802
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1550 GATEWAY BLVD, Fairfield, CA 94533

Other Names 1

Former Name (1)Priscilla Mendez Ms

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. Priscilla M Reinicke 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 ID8224478029
PECOS Enrollment IDI20240426001777
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.

Other Providers at the Same Location NPPES 20

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

Pharmacist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Pharmacist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Optometrist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Family Medicine
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Pharmacist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Pediatrics
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Pediatrics
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Student in an Organized Health Care Education/Training Program
1550 GATEWAY BLVD
FAIRFIELD, CA 94533

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 Priscilla Reinicke's NPI number?

The NPI number for Priscilla Reinicke is 1679097612. It was assigned to this individual provider in the NPPES registry on August 1, 2017. The provider is also known as Priscilla Mendez Ms.

Where is Priscilla Reinicke located?

Priscilla Reinicke practices at 1550 Gateway Blvd, Fairfield, CA 94533. The listed phone number is (707) 427-4000.

What is Priscilla Reinicke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Priscilla Reinicke enrolled in Medicare?

Yes. Priscilla Reinicke 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.

When was this NPI record last updated?

The NPPES record for Priscilla Reinicke was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.