CALEB MAUTI REID DNP MSN PMHNP-BC. NPI 1053759217

NPI Information

NPI: 1053759217
Provider Name: CALEB MAUTI REID, DNP, MSN, PMHNP-BC.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
350 COMMERCIAL RD STE 11
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 913-0674
Get Directions

Caleb Mauti Reid, DNP, MSN, PMHNP-BC. is a psychiatric/mental health nurse practitioner in San Bernardino, CA. Caleb Mauti Reid, DNP, MSN, PMHNP-BC. NPI is 1053759217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 COMMERCIAL RD STE 11
SAN BERNARDINO, CA
ZIP 92408-763
Phone: (909) 913-0674
Fax: (480) 800-2212

The NPI 1053759217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2013 and was last updated on 3/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	279741	ARIZONA	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	726417	CALIFORNIA	No
3	163WC0400X	Registered Nurse	Case Management	726417	CALIFORNIA	No
4	163WP0808X	Registered Nurse	Psychiatric/Mental Health	726417	CALIFORNIA	No
5	2083A0300X	Preventive Medicine	Addiction Medicine	279741	ARIZONA	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95023143	CALIFORNIA	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	279741	ARIZONA	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	PMHNP	ARIZONA	Yes
9	163W00000X	Registered Nurse		726417	CALIFORNIA	No
10	163WA2000X	Registered Nurse	Administrator	726417	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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