Michael J Reiss PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MICHAEL J REISS PSYD LLC

Practice address

200A Oak St
Glastonbury, CT 06033-2320

Phone

(860) 657-8868

NPI assigned

Nov 13, 2018

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Reiss, PSYDNPI 1740737139

Title

Psychologist

Phone

(860) 657-8868

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Reiss, M.A.

  • Clinical Psychologist
  • Hartford, CT
  • NPI 1740737139
  Medicare reassignment NPD Authorized official
• Barbara S Bunk, PH.D.

  • Clinical Psychologist
  • Glastonbury, CT
  • NPI 1689774820
  NPD
• Lisa P. Burch, LCSW

  • Clinical Social Worker
  • Ellington, CT
  • NPI 1821151895
  NPD (past)
• Marc Samuel Cutler, PHD

  • Clinical Psychologist
  • Windsor Locks, CT
  • NPI 1881167062
  NPD (past)
• Catherine Marie Ewing, LCSW, MDIV

  • Clinical Social Worker
  • East Windsor, CT
  • NPI 1518050434
  NPD (past)
• Nori Gordon, PSY. D.

  • Clinical Psychologist
  • Glastonbury, CT
  • NPI 1952451890
  NPD (past)
• Ilene Grueneberg, PH.D.

  • Clinical Psychologist
  • Glastonbury, CT
  • NPI 1558462416
  NPD (past)

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1205304805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200A OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332320",
            "telephone_number": "860-657-8868",
            "fax_number": "860-657-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200A OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332320",
            "telephone_number": "860-657-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J REISS PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-657-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Messier, PT
• Ellen Metzger, MS, RD
• Melissa Kay Meyers, ATC
• Chelsey Micciche
• Michael J Pierce MD LLC
• Eva Michalik
• Jillian Michaud, PT, DPT
• Michelle M. Reynolds, PH.D., LLC
• Midnight Pine Counseling PLLC
• Andrew Joseph Migani, DMD

• Clinical Psychologist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.