Sydney Marie Reynolds

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1501250323 Issued in CA

Practice address

375 89TH St
Daly City, CA 94015-1802

Phone

(650) 301-8650

NPI assigned

Apr 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Service League of San Mateo County

  • Substance Abuse Rehabilitation Facility
  • Redwood City, CA
  • NPI 1518253020
  NPD (past)

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1316633290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 OLD COUNTY RD APT 332",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 89TH ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151802",
            "telephone_number": "650-301-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 Old County Rd Apt 332",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "CA",
            "postal_code": "940022688",
            "country_code": "US",
            "telephone_number": "650-703-1009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3789 Hoover St",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940634504",
            "country_code": "US",
            "telephone_number": "650-363-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SYDNEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-PFSHTB",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1501250323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ressler
• Rey P. Joves DMD, Inc.
• Sharie Tan Reyes, DDS
• Sharon Anne Reyes
• James B Reynolds, MD
• Laleh Rezaei-Homami, PNP
• Catherine Haejin Rhee-Worobec, PH.D.
• Brooke Rice
• Richard C Sherwood MD Inc
• Richard Derby MD a Professional Corporation

• Addiction (Substance Use Disorder) Counselor in Daly City, CA
• Providers in Daly City, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.