Robert Earl Reifsnyder, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4558 Issued in MA

Practice address

354 Washington Street
Wellesley Hills, MA 02481

Phone

(781) 235-2052

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114006160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIANS ORGANIZATION INC",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-0287",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 WASHINGTON STREET",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-235-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFSNYDER",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W04409",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Quinn
• Colleen Quinn, OTR/L
• Talya Rabina, PSY.D.
• Raquel K. Perlis Physical Therapy, Inc.
• Regenerative Institute of Wellesley PC
• Retina Specialists of Boston and Wellesley LLC
• Samantha Reyes
• Paul Arthur Richer, MD
• Mackenzie Lynn Rickert, MS, OTR/L
• Jillian Rockoff, PT, DPT

• Psychologist in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.