DR. DUSANKA ROSE MARIE REYNOLDS (PHD) – Clinical Psychologist, NPI 1568536613
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for DR. DUSANKA ROSE MARIE REYNOLDS (PHD)
603 Hemlock St Ste 2G
Brookings, OR 974159429
Phone: (541) 661-5840
Fax: (800) 433-1396
Type: Location
445, I Street, Crescent City, Del Norte County, California, 95531, United States
SUITE B
CRESCENT CITY, CA 955319636
Phone: (707) 464-8787
Fax: (707) 464-6825
Type: Mailing
PO BOX 1787
MEDFORD, OR 975010261
Phone: (541) 500-8655
Fax: (800) 433-1396
Type: Mailing
41 SUNRISE DR
RANCHO MIRAGE, CA 922703827
Phone: (541) 661-5840
Type: Location
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.
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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: 2009-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090302000256 | I | Clinical Psychologist | CA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 263 | 12 | $0 |
Insurance plans in this area (ZIP 97415)
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