DR. NICOLE R REYNOLDS (NPI# 1285967422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285967422 |
| Entity Type | Individual |
| Full Name | DR. NICOLE R REYNOLDS |
| Credential | PSYD, LP |
| Practice Address |
158 N Main St Plymouth MI 48170-1236 |
| Mailing Address |
20789 Sunnydale St Farmington Hills MI 48336-5254 |
| Practice Telephone | 2487365067 |
| Mailing Telephone | 2487365067 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016052 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PROVIDER TRANSACTION ACCESS NUMBER (PTAN) | MI9741001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598133043 | Nicole Reynolds | Psychologist | 2158 Exchange St # 304, Astoria, OR 97103-3316 | 2015-09-14 |
| 1467843482 | Nicole Reynolds | Occupational Therapist | 2638 Wende Rd, Alden, NY 14004-9315 | 2015-02-12 |
| 1619104528 | Nicole Marie Reynolds | Physical Therapist | 2600 Old Washington Rd Ste 250, Suite 205, Pittsburgh, PA 15241-2595 | 2009-06-18 |
| 1235384769 | Nicole M Reynolds | Physical Therapist | 4205 Longbranch Rd, Liverpool, NY 13090-3213 | 2008-11-25 |
| 1831707728 | Nicole Reynolds | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-07-16 |
| 1689214272 | Nicole Reynolds | Behavior Technician | 32650 State Route 20 Ste E204, Oak Harbor, WA 98277-2686 | 2020-01-10 |
| 1851957179 | Nicole Reynolds | Counselor | 20 Cedar St, Worcester, MA 01609-2520 | 2019-05-13 |
| 1124560933 | Nicole Reynolds | Speech-Language Pathologist | 9041 Executive Park Dr Ste 126, Knoxville, TN 37923-4603 | 2016-11-09 |
| 1508313727 | Nicole Sarah Reynolds | Dietitian, Registered | 2315 Stockton Blvd, Sesp 0p160, Sacramento, CA 95817-2201 | 2016-09-06 |
| 1124376355 | Nicole Marie Reynolds | Physician Assistant | 1035 Piper Blvd Ste 101, Naples, FL 34110 | 2012-08-20 |
| Street Address |
158 N MAIN ST |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146579 | Victoria Lynn Marrow | Psychologist | 158 N Main St, Plymouth, MI 48170-1236 | 2016-10-27 |
| 1871940429 | Aaron Morandini | Psychologist | 158 N Main St, Plymouth, MI 48170-1236 | 2016-05-24 |
| 1316306418 | Nicole Reynolds Psyd LLC | Clinic/Center | 158 N Main St, Plymouth, MI 48170-1236 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264760 | Tasha Leno | Psychologist | 595 Forest Ave Ste 7a, Plymouth, MI 48170-1777 | 2018-08-10 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1952891038 | Charles Francis Carroll | Psychologist | 17 Alvin Rd, Plymouth, MA 02360-3920 | 2018-05-15 |
| 1861914863 | Steven Schwartz | Psychologist | 12431 Howland Park Dr, Plymouth, MI 48170-2894 | 2017-07-11 |
| 1366827016 | Juliann Knochel | Psychologist | 42325 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2015-07-23 |
| 1851781959 | Stephen Mangin | Psychologist | 42245 Ann Arbor Rd E Ste 101, Plymouth, MI 48170-4311 | 2015-01-27 |
| 1649683517 | Heather M Delcourt | Psychologist | 595 Forest Ave Ste 11a, Plymouth, MI 48170-1777 | 2014-06-08 |
| 1952730723 | Amanda Michelle Henderson Bills | Psychologist | 199 N Main St Ste 200, Plymouth, MI 48170-1286 | 2013-11-02 |
| 1255779492 | Heather D Haggerty | Psychologist | 340 N Main St Ste 201, Plymouth, MI 48170-1290 | 2013-06-10 |
| 1164705471 | Ruth C. Rowbotham | Psychologist | 225 Water St Ste A115, Plymouth, MA 02360-4060 | 2011-09-22 |
| Find all providers in PLYMOUTH | ||||
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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.