JACQUES M. REYNOLDS (NPI# 1356788921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356788921 |
| Entity Type | Individual |
| Full Name | JACQUES M. REYNOLDS |
| Credential | D.O. |
| Practice Address |
81 Medical Center Dr # 2400 Brunswick ME 04011 |
| Mailing Address |
593 Eddy St Providence RI 02903-4923 |
| Practice Telephone | 2073736099 |
| Mailing Telephone | 4016062513 |
| Mailing Fax Number | 4014446858 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DO2771 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 593 Eddy St, Providence, RI 029034923 | 4016062513 | 4014446858 |
| Street Address |
81 MEDICAL CENTER DR # 2400 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| 1801197827 | Ellen H Theodores | Social Worker | 153b Park Rowe, Brunswick, ME 04011 | 2010-11-08 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306875117 | Lori A Trefts | Psychiatry & Neurology | 2500 Starling St., Suite 503, Brunswick, GA 31520-0000 | 2006-07-02 |
| 1033198809 | Stephen George Pappas | Psychiatry & Neurology | 2600 Parkwood Dr, Brunswick, GA 31520-4725 | 2006-01-11 |
| 1932387446 | Golden Isles Pain-md, LLC | Psychiatry & Neurology | 1111 Glynco Pkwy, Ste 400, Brunswick, GA 31525-7921 | 2008-02-06 |
| 1609064146 | Phillip P Amodeo | Psychiatry & Neurology | 2500 Starling St, Suite 503, Brunswick, GA 31520-4265 | 2007-10-10 |
| 1093874893 | William P Stamey | Psychiatry & Neurology | 81 Medical Center Dr, Suite 2400, Brunswick, ME 04011-2764 | 2006-12-07 |
| 1023183423 | Coastal Neurology and Neurosurgery | Psychiatry & Neurology | 2500 Starling St, Suite 506, Brunswick, GA 31520-4219 | 2006-11-21 |
| 1992711824 | Kathryn D Seasholtz | Psychiatry & Neurology | 81 Medical Center Dr, Suite 2400, Brunswick, ME 04011-2764 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104055086 | Roople Kiran Unia | Psychiatry & Neurology | 498 Essex St Ste 105, Bangor, ME 04401-3990 | 2009-07-13 |
| 1083800106 | Alyson Maloy | Psychiatry & Neurology | 449 Forest Ave # 214, Portland, ME 04101-2029 | 2007-09-21 |
| 1912106469 | Annette Goodman | Psychiatry & Neurology | 46 Fairview Ave Ste 114, Skowhegan, ME 04976-1481 | 2007-07-15 |
| 1851481626 | Jutta M Eichelman | Psychiatry & Neurology | Augusta Neurology, Pa, 17 North Heritage Woods Lane, Winthrop, ME 04364-5728 | 2006-10-13 |
| 1457442071 | T Edward Collins | Psychiatry & Neurology | 267 Tuttle Rd, Cumberland, ME 04021-4117 | 2006-09-27 |
| 1053419184 | Augusta Neurology Pa | Psychiatry & Neurology | 55 Middle Street, Suite 1, Augusta, ME 04330 | 2006-09-20 |
| 1639103997 | Carl D Robinson | Psychiatry & Neurology | 99 Campus Ave Ste 402, Lewiston, ME 04240-6045 | 2006-07-10 |
| 1962453670 | Pantcho G Maslinski | Psychiatry & Neurology | 233 York St, York, ME 03909-1047 | 2006-05-15 |
| 1467416800 | John Dolan | Psychiatry & Neurology | 46 Barra Road Suite 101, Biddeford, ME 04005 | 2006-04-13 |
| 1649259219 | John Hurlin Robinson | Psychiatry & Neurology | 10 Cottage Way, Kittery, ME 03904 | 2006-01-12 |
| Find all providers with the same taxonomy | ||||
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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.