Sandra Jean Reynolds

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15 Bolton PL
15A
Brockton, MA 02301-5316

Phone

(508) 427-4383

Fax

(508) 584-4328

NPI assigned

Jan 11, 2008

Last updated

Jan 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brockton Area Multi-Services, Inc.Group PAC ID 9133161953, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brockton Area Multi-Services, Inc.

  • Mental Health Counselor
  • Whitman, MA
  • NPI 1437101839
  Medicare reassignment Care Compare group NPD
• Old Colony Young Men's Christian Association, Inc.

  dba Old Colony Y Comprehensive Counseling

  • Clinical Psychologist
  • Brockton, MA
  • NPI 1366506677
  NPD (past)
• Whitman Counseling

  • Exclusive Provider Organization
  • Whitman, MA
  • NPI 1194051524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1083890727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15A BOLTON PLACE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-427-4383",
            "fax_number": "508-584-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOLTON PL",
            "address_2": "15A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015316",
            "telephone_number": "508-427-4383",
            "fax_number": "508-584-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revere Medical of Massachusetts, PC
• Rachel Revis
• Alberto Reyes, RPH
• Gisselle B Reyes
• Jonathan Reynolds, MD
• Alexandra Marie Rhea, MS, RDN, LDN
• Martin S. Rhee, M.D.
• Rhema Psychiatric Services LLC
• Rheumatology Consultants PC
• Jane E Rhoads

• Mental Health Counselor in Brockton, MA
• Providers in Brockton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.