Dwight Reynolds, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0004023 Issued in FL

Practice address

9150 SW 87TH Ave Ste 102
Miami, FL 33176-2311

Phone

(305) 273-7736

Fax

(305) 278-8166

NPI assigned

Dec 26, 2006

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

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295890663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 147TH ST",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581934",
            "telephone_number": "305-273-7736",
            "fax_number": "305-278-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762311",
            "telephone_number": "305-273-7736",
            "fax_number": "305-278-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Emilio Reyna, M.D.
• Reynaldo Lopez MD PA
• Betsy Reynaldo, PHARM D
• Susel Reynaldo
• David Nicolas Allen Reynaud, PHARMD
• Henry M Reynolds, D.C.P.A
• Juliana Reynolds, ARNP
• Kiley Joseph Reynolds, D.O.
• Kimberly Reynolds, M.D.
• Shaneka Reynolds

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• 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.