Michael Reynolds

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008747 Issued in CT

Practice address

101 Phoenix Ave
Enfield, CT 06082-4471

Phone

(860) 763-7600

NPI assigned

Mar 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1790289536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ALCOTT DR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHOENIX AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824471",
            "telephone_number": "860-763-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hillside Cir Ste 107",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010894679",
            "country_code": "US",
            "telephone_number": "413-536-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice A. Reeder, APRN
• Keith G Reidy, PT
• Kathryn Marie Reinmann, DNP, FNP-BC
• Renew You LLC
• Jennifer Bailey Resnick, LCSW
• Helen Veirs Rice, MSN, APRN, FNP
• Teresa Elizabeth Richard, M.ED.
• Ashley Richards
• Kathleen Mary Richards, LCSW
• Melissa Richards

• Clinical Social Worker in Enfield, CT
• Providers in Enfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.