Alexis Reynolds, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1158 S Harvey Ave
Oak Park, IL 60304-2277

Phone

(630) 210-6850

NPI assigned

Aug 5, 2019

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

Enrolled in IL, TX2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Responders Wellness Center LLCGroup PAC ID 1759778228, 3 clinicians

Psy-Med, Inc.Group PAC ID 5092863662, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• First Responders Wellness Center, PLLC

  • Clinical Psychologist
  • Lombard, IL
  • NPI 1417408303
  Medicare reassignment Care Compare group NPD
• Psy-Med, Inc.

  • Health Psychologist
  • Dallas, TX
  • NPI 1881842102
  Medicare reassignment Care Compare group NPD
• Counseling Psychologists of Woodbury, P.a.

  • Psychologist
  • Woodbury, MN
  • NPI 1659301398
  NPD
• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1740835099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 S HARVEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042277",
            "telephone_number": "630-210-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 S HARVEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042277",
            "telephone_number": "630-210-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7582 Currell Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252471",
            "country_code": "US",
            "telephone_number": "651-739-7539",
            "fax_number": "651-730-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reya Medical Transport ,LLC
• Alejandra Reyes
• Jennifer L Reyes, MPT
• Miguel N Reyes Jr.
• Reynolds-Incardona LTD.
• Pamela Jean Reynolds, D.D.S.
• Maria Paz Ribadeneira
• Malgorzata Magdalena Riccardi
• David Richards
• Kristal Richardson

• Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Psychologist in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.