Active NPI
Alexandra Dyer McReynolds, RN MSN PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dedham, MA
National Provider Identifier
1386377992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2342765
- Practice address
- 10 Carematrix Dr
Dedham, MA 02026-6149 - Phone
- (781) 647-6329
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2342765 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2342765 | MA | Primary |
Addresses
Primary practice location
10 Carematrix Dr
Dedham, MA 02026-6149
Mailing address
355 Washington Street
#1017
Woburn, MA 01801
Phone (323) 601-6671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2342765 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1386377992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 WASHINGTON STREET",
"address_2": "#1017",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "323-601-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CAREMATRIX DR",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266149",
"telephone_number": "781-647-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCREYNOLDS",
"first_name": "ALEXANDRA",
"middle_name": "DYER",
"credential": "RN MSN PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2023-12-26",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2342765",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2342765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.