Erin Doreen Reynolds, MS, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0219451 Issued in NY

Practice address

7024 47TH Ave
Woodside, NY 11377-6035

Phone

(718) 476-7163

NPI assigned

Jun 22, 2012

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Nassau Health Care Corporation

  dba Nassau Department of Psychiatry and Psychology, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment NPD

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1356604425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776035",
            "telephone_number": "718-476-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776035",
            "telephone_number": "718-476-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ERIN",
        "middle_name": "DOREEN",
        "credential": "MS, CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0219451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Resnick, ATC, LAT
• Shaeena Mikaela Reas Resurrecion, PT
• Melissa Revelo
• Gina Reyes, RN
• Peter Reyes, PT, DPT, GCS, CKTP
• Richard H. Fuhs (Abetterway Homecare Services)
• Rickco Drugs Inc.
• Charles Rico, ND, LAC
• Kathryn Riggs, LMSW
• Christine Rinaldi, LMSW

• Speech-Language Pathologist in Woodside, NY
• Providers in Woodside, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.