Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Reyes Medrano, PHD

Individual provider Clinical Psychologist · NPI 1386382372

Dr. Michael Reyes Medrano, PHD is a Clinical Psychologist in Surprise, Arizona. Qualified in 2021, 5 years ago. Practices with Iora Senior Health LLC, a 125-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New Mexico.

Years since qualifying
5
Licensed in
AZ, NM
In the registry since
2022
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17014 W Bell Rd Ste 100
Surprise, AZ 85374-2479
Phone: (623) 866-4484
Fax: (415) 252-7176
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-005525 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY-2022-0046 (NM)

Record details

NPI number1386382372
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 20, 2022
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Iora Senior Health Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Surprise