DR. MICHAEL J REZNICEK


Address: 1717 S Rustle Rd, Suite 212a, Spokane, WA 99224-2065
Phone: 5093154142

DR. MICHAEL J REZNICEK (NPI# 1760568760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760568760
Entity Type Individual
Full Name DR. MICHAEL J REZNICEK
Credential MD
Practice Address 1717 S Rustle Rd
Suite 212a
Spokane
WA 99224-2065
Practice Telephone 5093154142
Practice Fax Number 5092420797
Mailing Telephone 5093154142
Mailing Fax Number 5092420797
Enumeration Date 2006-10-31
Last Update Date 2013-01-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
MD00036953 WA Ambulatory Health Care Facilities

Office Location

Street Address 1717 S RUSTLE RD
SUITE 212A
City SPOKANE
State WA
Zip Code 99224-2065

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1780130328 Ashana Kelly Behavioral Analyst 5709 West Sunset Hwy #100, Spokane, WA 99224 2016-09-01
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1265735609 Kyle Ray Stewart Massage Therapist 10620 W12th #335, Spokane, WA 99224 2010-12-07
1285950311 Katherine Elaine Bunze Contractor 809 S Assembly, Spokane, WA 99224 2010-04-14
1801370044 Joseph Dickens Social Worker 1700 S Assembly St Ste 300, Spokane, WA 99224 2018-09-24
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1033651237 Depth Psychology Services, LLC Clinic/Center 108 N Washington St Ste 408, Spokane, WA 99201 2016-11-06
1194340679 Little Bird Psychotherapy, P.s., Inc Clinic/Center 1325 W 1st Ave Ste 202, Spokane, WA 99201-4148 2020-06-10
1558835157 Jacquelynn Kuhn Counseling & Consulting, Pllc Clinic/Center 701 W 7th Ave Ste 120, Spokane, WA 99204-2849 2019-01-16
1497237457 Mikolasy, LLC Clinic/Center 400 S Jefferson St Ste 451, Spokane, WA 99204-3143 2018-09-05
1346695418 Koru Counseling Inc Clinic/Center 7307 N Division St, Suite 311, Spokane, WA 99208-6545 2016-04-26
1861819799 Aragon Mental Health, LLC Clinic/Center 140 S Arthur St, Suite 670, Spokane, WA 99202-2204 2014-03-28
1992129902 Mary Kay Hall, Msw, LLC Clinic/Center 140 S Arthur St, Suite 660, Spokane, WA 99202-2204 2014-02-11
1598109407 Spokane Addiction Recovery Centers Clinic/Center 520 S Walnut St, Spokane, WA 99204-3320 2013-04-22

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NPI Name Taxonomy Address Enumeration
1568060085 Vanessa Honn, Phd, Ps Clinic/Center 3819 N Madison St, Tacoma, WA 98407-5725 2020-10-16
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Competitor

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City SPOKANE
Zip Code 99224

Improve Information

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Dataset Information

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.

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