Active NPI
Dawn Nadine Reynolds, M.D.
- Psychiatry Physician
- Farmington Hills, MI
National Provider Identifier
1073711040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 430108835
- Practice address
- 28545 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2996 - Phone
- (248) 987-4060
- Fax
- (248) 987-7012
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 430108835 | MI | Primary |
Addresses
Primary practice location
28545 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2996
Mailing address
28545 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2996
Phone (248) 987-4060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301088335 | Other | MI | STATE OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430108835 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Sacred Heart Medical Centre PC | Past | Accepting new patients | |
| Kamran F. Sheikh MD PC | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Family Medicine Physician
- Farmington, MI
- NPI 1205862513
-
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1558588772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1073711040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28545 ORCHARD LAKE RD STE A",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342996",
"telephone_number": "248-987-4060",
"fax_number": "248-987-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28545 ORCHARD LAKE RD STE A",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342996",
"telephone_number": "248-987-4060",
"fax_number": "248-987-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "DAWN",
"middle_name": "NADINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "430108835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "4301088335",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.