Active NPI
Catherine Reynolds, PSY.D.
- Clinical Psychologist
- Tucker, GA
National Provider Identifier
1629435540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY003947
- Practice address
- 1479 Brockett Rd
Suite 100
Tucker, GA 30084-7326 - Phone
- (770) 375-8124
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY003947 | GA | Primary |
Addresses
Primary practice location
1479 Brockett Rd
Suite 100
Tucker, GA 30084-7326
Mailing address
1479 Brockett Rd
Ste 100
Tucker, GA 30084-7326
Phone (770) 375-8124
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003947 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Minds Psychology Associates Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1629435540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 BROCKETT RD",
"address_2": "STE 100",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847326",
"telephone_number": "770-375-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 BROCKETT RD",
"address_2": "SUITE 100",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847326",
"telephone_number": "770-375-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
- Haylee Renouf, MS., CCC-SLP
- Lynne Somerville Repasky, PT
- Danica Samuels Reuter, LCSW
- Revelations Counseling
- Revive Medical USA Inc
- Debra Elizabeth Rhiver, A.P.R.N., B.C.
- Sharon Lee Rhodes, MS, RD, LD
- Rice Counseling and Consulting Services, LLC
- Anglea Steele Rice, MA, JD, LPC, NCC,CRC
- Richard L Parker Sr LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.