Larissa Kern Reynolds, PH.D., BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

03420 Issued in MD

Practice address

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

Phone

(888) 344-5977

NPI assigned

Feb 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Csaac, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Montgomery Village, MD
  • NPI 1225137912
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1699015354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 SAMUEL MORSE DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463444",
            "telephone_number": "888-344-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 SAMUEL MORSE DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463444",
            "telephone_number": "888-344-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LARISSA",
        "middle_name": "KERN",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03420",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Paulette Sioson Reyes-Bautista, M.D.
• Camila Reyes-Loayza
• Samantha Reyes
• Aahna Reynolds
• Kristen Mary Reynolds, RN
• Melanie Nicole Reynolds, CRNP
• Stephanie T Reynolds, LCSW-C
• Neda Rezaeian, PHARM D
• Anna Reznikova, PA-C
• John C Rhead, PH.D.

• Clinical Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; 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.