Active NPI
Victoria Reynolds, PH.D.
- Clinical Psychologist
- Durham, NC
National Provider Identifier
1740249093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2638
- Practice address
- 508 Fulton St.
Durham VA Medical Center
Durham, NC 27705 - Phone
- (919) 286-0411
- NPI assigned
- Mar 23, 2006
- 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 | 2638 | NC | Primary |
Addresses
Primary practice location
508 Fulton St.
Durham VA Medical Center
Durham, NC 27705
Mailing address
805A Jackson St
Durham, NC 27701-3124
Phone (919) 680-3563
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2638 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740249093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805A JACKSON ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013124",
"telephone_number": "919-680-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON ST.",
"address_2": "DURHAM VA MEDICAL CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-286-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.