MARY BEATRICE REYES (PH.D.) – Clinical Child & Adolescent Psychologist, NPI 1124351473

MARY BEATRICE REYES (PH.D.) is a healthcare provider. based in Miami, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY7474 (FL). The NPI Number for MARY BEATRICE REYES (PH.D.) is 1124351473

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARY BEATRICE REYES (PH.D.)
NPI
1124351473
Phone
(786) 466-4000
Address
1009 NW 5TH AVE
Enumeration Date
17 September 2009
Last Update Date
9 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864146666
Graduation Year
2002 (24 years ago)
PAC ID
5698075760
Group Practice PAC ID
7517480577
Professional Enrollment ID
I20151120001348
Address ID
FL331461442CO4111XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for MARY BEATRICE REYES (PH.D.)

  • 1009, Northwest 5th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    JEFFERSON REAVES HEALTH CENTER

    MIAMI, FL 331363212

    Phone: (786) 466-4000

    Fax: (305) 585-4405

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151120001348IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517480577View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Does MARY BEATRICE REYES (PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY BEATRICE REYES (PH.D.) uses 1124351473.
Does the file indicate MARY BEATRICE REYES (PH.D.) is practicing under active NPI?
Directory data currently reports MARY BEATRICE REYES (PH.D.) as active.
What is MARY BEATRICE REYES (PH.D.)'s specialty?
The listing groups MARY BEATRICE REYES (PH.D.) with Clinical Child & Adolescent Psychologist. Clinical services aligned with this taxonomy classification.
Does MARY BEATRICE REYES (PH.D.) list a practice location?
Patients near Miami, Florida may find MARY BEATRICE REYES (PH.D.) in results; validate coverage separately.
Why does MARY BEATRICE REYES (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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