Julie Sly Reynolds, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49900 Issued in CA

Practice address

73700 Highway 111
Suite #7
Palm Desert, CA 92260-4019

Phone

(760) 625-9092

NPI assigned

Oct 31, 2007

Sex

Female

Sole proprietor

Yes

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

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.

• JSR Family Therapy, Inc.

  • Marriage & Family Therapist
  • Palm Desert, CA
  • NPI 1366296089
  NPD Authorized official

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1801075304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73700 HIGHWAY 111",
            "address_2": "SUITE #7",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604019",
            "telephone_number": "760-625-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73700 HIGHWAY 111",
            "address_2": "SUITE #7",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604019",
            "telephone_number": "760-625-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JULIE",
        "middle_name": "SLY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Institute of California Medical Group
• Retina Institute of California Medical Group, a California Medical Par
• Jennifer Reyes Rivas
• Lolita Bruch Reyes-Montoya, PA-C
• Carla Reynolds, R.N.
• Richard I Torban a Professional Corporation
• Richard J. Gill, D.D.S., Inc.
• Cynthia Richardson, R.N., N.P.
• Daryl Richardson, DC
• Rosemary Louise Richardson

• Marriage & Family Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.