JOHN BRENTLY REYNOLDS II (NPI# 1447557442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447557442 |
| Entity Type | Individual |
| Full Name | JOHN BRENTLY REYNOLDS II |
| Practice Address |
14 Cottage Park Ave Cambridge MA 02140-1606 |
| Practice Telephone | 4059212180 |
| Mailing Telephone | 4059212180 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1871991471 | John Reynolds | Substance Abuse Rehabilitation Facility | 27273 Fm 2090 Rd, Splendora, TX 77372-4632 | 2014-12-12 |
| 1316236441 | John Harold Reynolds | Orthotist | 400 Erin Dr, Knoxville, TN 37919-6205 | 2011-03-29 |
| 1578868139 | John Devaux Reynolds | Naturopath | 4511 Se Hawthorne Blvd Ste 208, Portland, OR 97215 | 2011-01-12 |
| 1225285547 | John Reynolds | Internal Medicine | 7719 Alverstone Ave, Los Angeles, CA 90045-1446 | 2008-08-19 |
| 1487837688 | John A Reynolds | Dentist | 1214 Murfreesboro Rd, Suite 210, Franklin, TN 37064-1302 | 2007-12-11 |
| 1982739157 | John William Reynolds | Dentist | 5939b Gateway Blvd W, El Paso, TX 79925-3301 | 2007-02-21 |
| 1942359641 | John Hall Reynolds | Optometrist | 28 Flint Dr, North East, MD 21901-3746 | 2007-01-10 |
| 1538177043 | John C.g. Reynolds | Dentist | 2826 Broadway Ste 100, Riviera Beach, FL 33404-2308 | 2006-08-03 |
| 1922094119 | John Thomas Reynolds | Chiropractor | 630 Terra West Dr, Freeport, IL 61032-4536 | 2005-09-22 |
| Street Address |
14 COTTAGE PARK AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240614 | Ruthann Corrie Hewett | Counselor | 15 Ellery St Apt 8, Cambridge, MA 02138-5321 | 2020-09-21 |
| 1730798489 | Talk Therapy Tuebingen LLC | Counselor | 10 Michael Way, Cambridge, MA 02141-1436 | 2020-07-29 |
| 1407491962 | Alex Henry Newman | Counselor | 929 Massachusetts Ave Ste 103, Cambridge, MA 02139-3134 | 2019-11-08 |
| 1790343259 | Arielle Klein | Counselor | 872 Massachusetts Ave Ste 2-2, Cambridge, MA 02139-3072 | 2019-05-30 |
| 1144887696 | Stephanie Gray | Counselor | 1066 Cambridge St Apt 303, Cambridge, MA 02139-1463 | 2019-05-21 |
| 1952878233 | Wendy Elizabeth Shifflet | Counselor | Tri Valley Medical, 1305 Hwy 6/34, Cambridge, NE 69022 | 2018-10-25 |
| 1144796327 | Dorchester County Health Department - Sbwc-mh-csd | Counselor | 2475 Cambridge Beltway, Cambridge, MD 21613-3680 | 2018-10-16 |
| 1295201515 | Dorchester County Health Department - Sbwc-mh - Sandy Hill | Counselor | 1503 Glasgow St, Cambridge, MD 21613-1350 | 2018-10-15 |
| 1265917850 | Gail Nunes | Counselor | 872 Mass Ave Ste 2-2, Cambridge, MA 02139-3072 | 2018-09-28 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| Find all providers in CAMBRIDGE | ||||
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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.