MICHELLE REYNOLDS (NPI# 1952732695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952732695 |
Entity Type | Individual |
Full Name | MICHELLE REYNOLDS |
Practice Address |
218 E Orangeburg Ave Modesto CA 95350-5313 |
Practice Telephone | 2095236900 |
Enumeration Date | 2013-12-05 |
Last Update Date | 2013-12-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
RI-R1302231408 | CA | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689167819 | Michelle Reynolds | Military Health Care Provider | 14 Beechwood Rd, Hudson, NH 03051-3401 | 2018-06-12 |
1285130781 | Michelle Reynolds | Physical Therapy Assistant | 10089 N Oak Rd E, Cedar Hills, UT 84062-9026 | 2018-04-03 |
1235519372 | Michelle Marie Reynolds | Technician, Other | 1190 N Ferris Rd, Sumner, MI 48889-9701 | 2015-06-03 |
1619231446 | Michelle Lynne Reynolds | Specialist | 136 Mount Sinai Ave, Mount Sinai, NY 11766-2356 | 2012-06-26 |
1356535850 | Michelle Monaco Reynolds | Psychologist | 90 Royal Oak Dr, Durham, CT 06422-1410 | 2007-08-28 |
1770613101 | Michelle Reynolds | Dentist | 305 Blair Ave, Friday Harbor, WA 98250-8076 | 2007-03-06 |
1356952857 | Michelle Monique Reynolds | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2020-08-10 |
1073123113 | Michelle Renee Reynolds | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-08-04 |
1366941957 | Michelle Renee Reynolds | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-02-08 |
1669906053 | Michelle Reynolds | Family Medicine | 240 Willow St, Tyler, MN 56178-1201 | 2017-04-12 |
Street Address |
218 E ORANGEBURG AVE |
City | MODESTO |
State | CA |
Zip Code | 95350-5313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
Taxonomy Code | 3245S0500X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
Specialization | Substance Abuse Treatment, Children |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
Notes: [7/1/2003: new] |
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1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
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.