Harrell M Reznick, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY5766 Issued in CA

Practice address

12792 Longden St
Garden Grove, CA 92845

Phone

(714) 891-1420

NPI assigned

Sep 13, 2012

Last updated

Jul 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harrell M. Reznick, PH.D. and Associates

  • Adult Development & Aging Psychologist
  • Garden Grove, CA
  • NPI 1093122822
  NPD (past) Authorized official

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1295085660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12792 LONGDEN ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "714-891-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12792 LONGDEN ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "714-891-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNICK",
        "first_name": "HARRELL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY5766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Reyes
• Nina Alian Reyes
• Susan Jean Reynolds, RN, CPNP
• Alyza Reynoso Villagomez
• Cynthia Reynoso
• Brian Seunghun Rhee, M.D
• Ernest Youngchan Rhee
• Jane Rhee
• Tae Ryang Rhee, M.D.
• Haley Nicole Rhode

• Psychologist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.