Dr Nicholas Thomas De Los Reyes, PHD is a
Psychologist - Clinical based in Show Low, Arizona. Dr Nicholas Thomas De Los Reyes is licensed to practice in Arizona (license number 005077) and his current practice location is
2051 Evergreen Ln Ste C, Show Low, Arizona. He can be reached at his office (for appointments etc.) via phone at
(562) 547-0910.
NPI number for Dr Nicholas Thomas De Los Reyes is 1003028721 and his current mailing address is Po Box 268, Show Low, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003028721.
Healthcare Provider's Profile
Full Name | Dr Nicholas Thomas De Los Reyes |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2051 Evergreen Ln Ste C, Show Low, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003028721
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 10/26/2021
Medical Identifiers
Medical identifiers for Dr Nicholas Thomas De Los Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003028721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY9246 (California) | Secondary |
106H00000X | Marriage & Family Therapist | MFT13850 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 005077 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Thomas De Los Reyes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nicholas Thomas De Los Reyes, PHD Po Box 268, Show Low, AZ 85902-0268 Ph: (562) 547-0910 | Dr Nicholas Thomas De Los Reyes, PHD 2051 Evergreen Ln Ste C, Show Low, AZ 85901-7928 Ph: (562) 547-0910 |
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