Individual provider Active NPI

Denise Reynolds, PSY.D.

  • Clinical Psychologist
  • Pflugerville, TX
National Provider Identifier
1285969915
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34240 Issued in TX
Practice address
2911 A W Grimes Blvd Ste 204
Pflugerville, TX 78660-5459
Phone
(512) 423-0808
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34240 TX Primary

Addresses

Primary practice location

2911 A W Grimes Blvd Ste 204
Pflugerville, TX 78660-5459

Mailing address

2911 A W Grimes Blvd Ste 204
Pflugerville, TX 78660-5459
Phone (512) 423-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34240TXMDClinical Psychologist
34240TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Care Management, LLP Clinical CurrentSince Nov 5, 2023 Accepting new patients

Locations

2911 A W Grimes Blvd
Ste 204
Pflugerville, TX 78660
Phone (512) 423-0808

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1285969915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 204",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605459",
            "telephone_number": "512-423-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 204",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605459",
            "telephone_number": "512-423-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.