James Mark Reynolds, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013321 Issued in NY

Practice address

1519 Nye Road
Wayne Behavioral Health Network
Lyons, NY 14489

Phone

(315) 946-5722

Fax

(315) 946-7066

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• County of Wayne

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyons, NY
  • NPI 1003824855
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306981006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LAKE ROAD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "14519",
            "telephone_number": "585-506-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 NYE ROAD",
            "address_2": "WAYNE BEHAVIORAL HEALTH NETWORK",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "14489",
            "telephone_number": "315-946-5722",
            "fax_number": "315-946-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Rose Pryor, NP-BC
• Molly Pulinski, LMSW
• Janine Quinlan, NP
• Laura L Ramsay, LMHC
• Bonnie L Reynolds, BS
• Joy Elizabeth Reynolds, RN
• Kelly Ricciotti, RN, BSN
• Kathleen M. Richards, BS
• Rides MTS, Inc.
• Evette Riggins, LPN

• Psychologist in Lyons, NY
• Providers in Lyons, NY by specialty
• Psychologist in New York

• 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.