SUSAN REYNOLDS (NPI# 1467060012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467060012 |
| Entity Type | Individual |
| Full Name | SUSAN REYNOLDS |
| Practice Address |
3380 Monroe Ave Ste 117 Rochester NY 14618-4726 |
| Practice Telephone | 5857048666 |
| Mailing Telephone | 5857048666 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 000981 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598180127 | Susan Reynolds | Licensed Psychiatric Technician | 3904 Jane Way, Modesto, CA 95356-0825 | 2014-02-18 |
| 1417298233 | Susan Reynolds | Physical Therapist | 6777 Sterling Creek Rd, Jacksonville, OR 97530-8920 | 2013-03-04 |
| 1396081790 | Susan Nelson Reynolds | Speech-Language Pathologist | 2405 S 300th St, Federal Way, WA 98003-4225 | 2012-12-13 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1154459287 | Susan Jean Reynolds | Nurse Practitioner | 9802 Woodbury Ave, Garden Grove, CA 92844-2819 | 2007-03-01 |
| 1184785404 | Susan Foster Reynolds | Emergency Medicine | 652 Jacon Way, Pacific Palisades, CA 90272-2827 | 2006-12-12 |
| 1033202585 | Susan Reynolds | Social Worker | 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416-4977 | 2006-10-02 |
| 1700877032 | Susan Kim Reynolds | Emergency Medicine | 1215 Vandalia St, Collinsville, IL 62234-4060 | 2005-11-04 |
| 1780170902 | Susan Reynolds | Audiologist | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-07-11 |
| 1144733007 | Susan Marie Reynolds | Family Medicine | 830 S Main St, Orrville, OH 44667-2291 | 2017-11-14 |
| Street Address |
3380 MONROE AVE STE 117 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316309 | Jessica Janik | Marriage & Family Therapist | 625 Panorama Trl Ste 220, Rochester, NY 14625-2432 | 2020-11-03 |
| 1275133381 | Alexa Randall | Marriage & Family Therapist | 245 Rochester Hill Rd Ste 2, Rochester, NH 03867-1709 | 2020-10-28 |
| 1205449303 | Rochester Therapy Center | Marriage & Family Therapist | 1530 Greenview Dr Sw Ste 113, Rochester, MN 55902-1080 | 2020-08-28 |
| 1437776721 | Pamela Marie Spallacci | Marriage & Family Therapist | 318 Westminster Rd, Rochester, NY 14607-3233 | 2020-07-02 |
| 1144864877 | Reena Abraham Hutchinson | Marriage & Family Therapist | 95 Allens Creek Rd Ste 214, Rochester, NY 14618-3247 | 2019-11-06 |
| 1912476920 | Rachel Wren | Marriage & Family Therapist | 56 Asbury St, Rochester, NY 14620-1914 | 2018-11-19 |
| 1255828307 | Stephanie Marie Sullivan | Marriage & Family Therapist | 415 S Main St Ste E, Rochester, MI 48307-2077 | 2018-04-15 |
| 1275058786 | Melissa Spooner | Marriage & Family Therapist | 2171 Monroe Ave Ste 200c, Rochester, NY 14618-2433 | 2017-08-04 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1003284621 | Yvette A Kidman, LLC | Marriage & Family Therapist | 300 3rd Ave Se Ste 402, Rochester, MN 55904-4613 | 2015-09-14 |
| Find all providers in ROCHESTER | ||||
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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.