ELIZABETH REYES PHD
NPI 1821476664
Psychologist in Los Angeles, CA

Active since May 13, 2015Opted out of Medicare · through Oct 1, 2026
10801 NATIONAL BLVD STE 253, LOS ANGELES, CA 90064(310) 889-8215(310) 496-6757 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Sep 6, 2023, Jan 25, 2023 (3 updates tracked since 2023).

About Elizabeth Reyes Phd NPPES

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

ELIZABETH REYES PHD (NPI 1821476664) is an individual psychologist in Los Angeles, California, licensed in California (PSY20655) and active in the NPI registry since May 2015. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1821476664
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELIZABETH REYESCredential: PHD
Location Address10801 NATIONAL BLVD STE 253Los Angeles, CA 90064-4178
Mailing Address10801 National Blvd Ste 253Los Angeles, CA 90064-4178 · (310) 889-8215
Fax(310) 496-6757
Sole ProprietorYes
Enumeration DateMay 13, 2015
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1821476664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY20655
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY20655 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY20655 (CA)
10801 NATIONAL BLVD STE 253, Los Angeles, CA 90064

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Elizabeth Reyes 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 October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
10801 NATIONAL BLVD STE 253
LOS ANGELES, CA 90064

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 Elizabeth Reyes's NPI number?

The NPI number for Elizabeth Reyes is 1821476664. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Elizabeth Reyes located?

Elizabeth Reyes practices at 10801 National Blvd Ste 253, Los Angeles, CA 90064. The listed phone number is (310) 889-8215.

What is Elizabeth Reyes's specialty?

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

Is Elizabeth Reyes enrolled in Medicare?

No. Elizabeth Reyes has opted out of Medicare through October 1, 2026. 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 Elizabeth Reyes was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.