DR. PETER REAVEY PHD
NPI 1962894899
Psychologist in Summit, NJ

Active since March 02, 2015PECOS Enrolled
482 SPRINGFIELD AVE # 210, SUMMIT, NJ 07901(908) 273-5558(908) 273-3355 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter Reavey Phd NPPES

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

DR. PETER REAVEY PHD (NPI 1962894899) is an individual psychologist in Summit, New Jersey, licensed in New Jersey (35S100664500) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962894899
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PETER REAVEYCredential: PHD
Location Address482 SPRINGFIELD AVE # 210Summit, NJ 07901-2601
Mailing AddressPo Box 502Belmar, NJ 07719-0502 · (732) 418-8729
Fax(908) 273-3355
Sole ProprietorNo
Enumeration DateMarch 2, 2015
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1962894899 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 NJ · 35S100664500
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.
482 SPRINGFIELD AVE # 210, Summit, NJ 07901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Reavey Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Reavey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
482 SPRINGFIELD AVE FL 2
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
Psychologist
86 SUMMIT AVE, SUITE 210
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peter Reavey's NPI number?

The NPI number for Peter Reavey is 1962894899. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Peter Reavey located?

Peter Reavey practices at 482 Springfield Ave # 210, Summit, NJ 07901. The listed phone number is (908) 273-5558.

What is Peter Reavey's specialty?

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

Is Peter Reavey enrolled in Medicare?

Yes. Peter Reavey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Reavey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Reavey reassigns Medicare benefits to 2 organizations: Om Psychological Services (Summit, NJ) and Summit Psychological Services PA (Summit, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Reavey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Reavey was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.