Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457635930 Deactivated / Inactive NPI Male Practitioner

Kyle Bradley Reeves

Specialist • Berkeley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kyle Reeves has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2011
NPI Deactivation Date May 10, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Kyle Reeves was a registered Specialist practicing in Berkeley, CA. Throughout an active medical career spanning 12 years, Kyle Reeves provided care at the practice location at 1255 ALLSTON WAY until profile deactivation on 2023-05-10.

Practice Location & Contact Primary Location

Practice Address

1255 Allston Way

Berkeley, CA 947021833

Telephone 5108459010
Fax 5108491421
Associated Practice Facility / Clinic
🏢 Berkeley Youth Alternatives Facility NPI 1275724742

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Berkeley, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brandon Mason

Case Manager/Care Coordinator

NPI 1083149702
Wendy Rodrigues

Case Manager/Care Coordinator

NPI 1083954705
Landon Marriott

Social Worker

NPI 1104348200
Michael Olawuni

Marriage & Family Therapist

NPI 1104430685
Patsy Martin

Marriage & Family Therapist

NPI 1124578190
Akil Foster

Marriage & Family Therapist

NPI 1134699630

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 10, 2023

Record deactivated on May 10, 2023

NPI Profile Active October 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2011

Registered at 1255 ALLSTON WAY, BERKELEY, CA 947021833 (Tel: 5108459010)

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Updated Business Mailing Address October 03, 2011

Registered at 1255 ALLSTON WAY, BERKELEY, CA 947021833 (Tel: 5108459010)

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Provider Name / Credentials Updated October 03, 2011

Recorded as KYLE REEVES

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2011

Specialist

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Initial NPI Registration & Enumeration October 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457635930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2011
Last Update: October 03, 2011
Deactivation Date: May 10, 2023

Mailing Address

1255 Allston Way

Berkeley, CA 947021833

Phone: 5108459010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.