AUDRA REYNOLDS (NPI# 1215278775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215278775 |
| Entity Type | Individual |
| Full Name | AUDRA REYNOLDS |
| Credential | PSY.D. |
| Practice Address |
7230 Heritage Village Plz Suite 102 Gainesville VA 20155-3053 |
| Practice Telephone | 5719216721 |
| Practice Fax Number | 7037540311 |
| Mailing Telephone | 5719216721 |
| Mailing Fax Number | 7037540311 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810004718 | VA | Behavioral Health & Social Service Providers |
| Street Address |
7230 HERITAGE VILLAGE PLZ SUITE 102 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972534808 | Lorraine Camille Schooner | Psychologist | 7230 Heritage Village Plz, Suite 102, Gainesville, VA 20155-3053 | 2006-07-06 |
| 1629500293 | Babak Alidoosti | Marriage & Family Therapist | 7230 Heritage Village Plz, Suite 202, Gainesville, VA 20155-3053 | 2017-04-01 |
| 1215313077 | Tracy Palmer | Psychologist | 7230 Heritage Village Plz, Suite 202, Gainesville, VA 20155-3053 | 2015-08-04 |
| 1346581055 | Dorothea Francesca Christiano | Counselor | 7230 Heritage Village Plz, Suite 202, Gainesville, VA 20155-3053 | 2013-03-05 |
| 1316282015 | Lorraine Schooner Ph.d. LLC | Psychologist | 7230 Heritage Village Plz, Suite 102, Gainesville, VA 20155-3053 | 2012-12-06 |
| 1629337969 | Rebecca Brosch | Psychologist | 7230 Heritage Village Plz, Suite 202, Gainesville, VA 20155-3053 | 2012-05-07 |
| 1316249428 | Social Achievers | Counselor | 7230 Heritage Village Plz, Suite 201, Gainesville, VA 20155-3053 | 2010-11-22 |
| 1184863474 | Ola Marie Black | Counselor | 7230 Heritage Village Plz, Gainesville, VA 20155-3053 | 2009-02-11 |
| 1689855348 | Wendy Hasychak | Counselor | 7230 Heritage Village Plz, Suite 201, Gainesville, VA 20155-3053 | 2007-11-21 |
| 1982895926 | Carolina Walsh | Counselor | 7230 Heritage Village Plz, Suite 202, Gainesville, VA 20155-3053 | 2007-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506924 | Emily F. Hoon, Phd, Pllc | Psychologist | 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 | 2020-10-21 |
| 1083103022 | Lindsey Bowman | Psychologist | University of Florida 1600 Sw Archer Rd G-901, Gainesville, FL 32610-0001 | 2018-05-04 |
| 1538603964 | Angela Koivula | Psychologist | 111 Se 1st Ave Ste 160, Gainesville, FL 32601-9914 | 2016-12-04 |
| 1851704324 | Mary L. Horn, Phd | Psychologist | 2131 Nw 40th Ter Ste C, Gainesville, FL 32605-5800 | 2014-06-03 |
| 1497184121 | Sherry Diane Broadwell | Psychologist | 517b Green Street, Gainesville, GA 30501 | 2013-11-04 |
| 1326396755 | London Butterfield | Psychologist | 2121 B Nw Terr, Gainesville, FL 32605-5813 | 2012-08-15 |
| 1548573272 | Monika Bigler Rosier | Psychologist | 1810 Nw 6th St Ste C, Gainesville, FL 32609 | 2010-07-22 |
| 1922335017 | Michelle M. Bishop, Phd, LLC | Psychologist | 2653 Sw 87th Dr Ste A, Gainesville, FL 32608-9313 | 2009-11-10 |
| 1770818924 | Evangelia Banou | Psychologist | 101 S Newell Dr Rm 3151, Gainesville, FL 32611-0001 | 2009-10-06 |
| 1538321468 | Susan Elizabeth Davis | Psychologist | 912 Nw 57th St Ste B, Gainesville, FL 32605-6425 | 2008-07-01 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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| 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.