Michelle Monaco Reynolds, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002786 Issued in CT

Practice address

11 Woodland Rd Ste 2
Madison, CT 06443-2380

Phone

(203) 208-8996

Fax

(203) 204-1381

NPI assigned

Aug 28, 2007

Sex

Female

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Michelle M Reynolds PHD LLCGroup PAC ID 6507266780, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Michelle M Reynolds, PHD, LLC

  dba LifeCatalyst

  • Clinical Psychologist
  • Madison, CT
  • NPI 1467037143
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle M. Reynolds, PH.D., LLC

  • Clinical Psychologist
  • Glastonbury, CT
  • NPI 1275993636
  Authorized official Same address or phone
• Rhoda L Kreisman PH D

  dba Child & Family Psychotherapy Center

  • Psychologist
  • Wallingford, CT
  • NPI 1508061466
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1356535850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ROYAL OAK DR",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221410",
            "telephone_number": "203-376-8284",
            "fax_number": "203-204-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODLAND RD STE 2",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432380",
            "telephone_number": "203-208-8996",
            "fax_number": "203-204-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHELLE",
        "middle_name": "MONACO",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Alexander Read, DO
• Rebecca L. Petersen, LCSW, LLC
• Recovery Services of Connecticut, LLC
• Recovery Services of Connecticut, LLC
• Aaisma Regmi, LSW
• Lori Richardson, DC
• Thomas J Richardson, DC
• Rise Therapy and Wellness, LLC (Rise Wellness)
• Eugene Rivera, MSW
• Robert Bruce Tross MD PC

• Clinical Psychologist in Madison, CT
• Providers in Madison, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.