Individual provider Active NPI

Annette Reynolds, M.D.

  • Psychiatry Physician
  • Erlanger, KY
National Provider Identifier
1215163563
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46291 Issued in KY
Practice address
820 Dolwick Drive
Erlanger, KY 41018-2774
Phone
(859) 301-5901
Fax
(859) 301-5940
NPI assigned
Jun 1, 2009
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 46291 KY Primary
Psychiatry Physician 2084P0800X 35.122899 OH
Child & Adolescent Psychiatry Physician 2084P0804X 46291 KY

Addresses

Primary practice location

820 Dolwick Drive
Erlanger, KY 41018-2774

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-5901

Other practice location 1

10200 Alliance Rd Ste 150
Blue Ash, OH 45242-4754
Phone (216) 468-5000

Other identifiers 2

IdentifierTypeStateIssuer
7100252060MedicaidKY
0106783MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140709002656 OH Practitioner - PsychiatryPractitioner - Neurology 0446475354 Reassigns benefits to 2 organizations
I20160115001171 KY Practitioner - Psychiatry 0446475354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
University of Kentucky College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

10200 Alliance Rd
Suite 150
Blue Ash, OH 45242-4754
Phone (513) 975-4673

20 N Grand Ave
Suite 15
Ft Thomas, KY 41075-1755
Phone (513) 975-4673

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46291KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Nov 16, 2015 Accepting new patients
Summit Medical Group, Inc CurrentSince Nov 16, 2015 Accepting new patients
Psychological & Behavioral Consultants, LLC Psychiatry CurrentSince May 3, 2021 Accepting new patients
Dublin Springs Physician Group, LLC Psychiatry CurrentSince Mar 9, 2021 Accepting new patients

Locations

820 Dolwick Dr
Erlanger, KY 41018
Phone (859) 429-5188

20 N Grand Ave
Ste 15
Fort Thomas, KY 41075
Phone (513) 975-4673

250 Grandview Dr
Ste 575
Ft Mitchell, KY 41017
Phone (317) 292-7108

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

101 S 5th St
Ste 3850
Louisville, KY 40202

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

10200 Alliance Rd
Blue Ash, OH 45242

10200 Alliance Rd
Ste 150
Blue Ash, OH 45242
Phone (513) 563-0488

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

Interoperability endpoints

  • Direct secure messaging: pbc.annettereynolds@140097.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1215163563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-301-5901",
            "fax_number": "859-301-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DOLWICK DRIVE",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182774",
            "telephone_number": "859-301-5901",
            "fax_number": "859-301-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 Alliance Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424754",
            "country_code": "US",
            "telephone_number": "216-468-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "46291",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.122899",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "46291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100252060",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106783",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

Verify at the official NPI Registry.