Chanda Reynolds, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

200001219 Issued in DC

Practice address

600 Pennsylvania Ave SE
Washington, DC 20003-4316

Phone

(443) 923-9200

NPI assigned

May 21, 2019

Reactivated

Aug 3, 2021

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

Other names 1

• Chanda Reynolds Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Chanda Reynolds LLC

  • Clinical Psychologist
  • Washington, DC
  • NPI 1750261905
  NPD Authorized official
• Minds of the Culture Incorporated

  • Psychologist
  • Dover, DE
  • NPI 1831079086
  NPD Authorized official

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1104483577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034316",
            "telephone_number": "443-923-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131648",
            "country_code": "US",
            "telephone_number": "302-275-3369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHANDA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "deactivation_date": "2021-07-14",
        "reactivation_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "200001219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDA",
            "last_name": "REYNOLDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra Cecilia Reyes
• Sandy Reyes
• Victor Reyes
• Breanne Casey Reynolds, SLP
• Brigid Reynolds
• Christina Reynolds, APRN, FNP-BC
• David Jermoe Reynolds, PH.D.
• Denita Reynolds
• Dianne Louise Reynolds, M.D.
• Gary Irving Reynolds, M.D.

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.