Individual provider Active NPI

Sheila M. Reindl, ED.D.

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1700965126
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7116 Issued in MA
Practice address
20 Concord Ave
Apt B
Cambridge, MA 02138-2351
Phone
(617) 492-1561
Fax
(978) 526-0185
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7116 MA
Psychologist 103T00000X 7116 MA
Health Service Psychologist 103TH0100X 7116 MA
Clinical Psychologist 103TC0700X 7116 MA Primary

Addresses

Primary practice location

20 Concord Ave
Apt B
Cambridge, MA 02138-2351

Mailing address

5 Currier Rd
Manchester, MA 01944-1102
Phone (617) 492-1561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20040108000237 MA Practitioner - Clinical Psychologist 9032018098 Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Concord Ave
Apt B
Cambridge, MA 02138-2351
Phone (617) 492-1561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1700965126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CURRIER RD",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441102",
            "telephone_number": "617-492-1561",
            "fax_number": "978-526-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CONCORD AVE",
            "address_2": "APT B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382351",
            "telephone_number": "617-492-1561",
            "fax_number": "978-526-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINDL",
        "first_name": "SHEILA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "7116",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7116",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "7116",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.