MICHAEL J REISS PSYD LLC


Address: 200a Oak St, Glastonbury, CT 06033-2320
Phone: 8606578868

MICHAEL J REISS PSYD LLC (NPI# 1205304805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205304805
Entity Type Organization
Organization Name MICHAEL J REISS PSYD LLC
Practice Address 200a Oak St
Glastonbury
CT 06033-2320
Practice Telephone 8606578868
Mailing Telephone 8606578868
Mailing Fax Number 8606578802
Enumeration Date 2018-11-13
Last Update Date 2020-07-23
Authorized Official Name DR. MICHAEL J REISS (PSYCHOLOGIST)
Authorized Official Telephone 8606578868
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 200A OAK ST
City GLASTONBURY
State CT
Zip Code 06033-2320

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215496542 New Horizon Counseling LLC Psychologist 148 Eastern Blvd Ste 306, Glastonbury, CT 06033-4321 2019-03-16
1558750273 Smith Eddie Kidkarndee Psychologist 2389 Main St Ste 202, Glastonbury, CT 06033-4617 2015-01-19
1043520372 Alana Marie Embriano Psychologist 200c Oak Street, Glastonbury, CT 06033 2010-10-20
1447579982 Kathie H. Moffitt Psychologist 300 Hebron Ave Ste 201, Glastonbury, CT 06033-2176 2010-05-24
1972701522 Erica Lauren Janson Psychologist 931 Main Street Suite 2, Glastonbury, CT 06073 2007-07-05
1174735567 Polyxeni Kyriakopoulos-cunningham Psychologist 33 Pratt St, Glastonbury, CT 06033-1014 2007-05-06
1629299946 Gail P Comey Psychologist 11 Knob Hill Rd, Glastonbury, CT 06033-3708 2007-05-02
1073739652 James William Loomis Psychologist 8 Twelve Acre Ln, Glastonbury, CT 06033-1215 2007-04-18
1871716548 Elaine Linda Ducharme Psychologist 17 Parker Terrace Ext, Glastonbury, CT 06033-2012 2007-04-11
1164554648 Mark Allen Frayne Psychologist 122a Naubuc Ave, 204, Glastonbury, CT 06033-4246 2007-03-11
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Competitor

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City GLASTONBURY
Zip Code 06033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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