Active NPI
Monique Reynolds, PH.D.
- Psychologist
- McLean, VA
National Provider Identifier
1750724282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05099
- Practice address
- 1497 Chain Bridge Rd
MC Lean, VA 22101-5728 - Phone
- (703) 908-1020
- NPI assigned
- Apr 15, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05099 | MD | Primary |
Addresses
Primary practice location
1497 Chain Bridge Rd
MC Lean, VA 22101-5728
Mailing address
2601 N Stuart St
Arlington, VA 22207-5125
Phone (703) 517-4401
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1750724282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N STUART ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222075125",
"telephone_number": "703-517-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 CHAIN BRIDGE RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015728",
"telephone_number": "703-908-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "MONIQUE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.