Active NPI
David Jermoe Reynolds, PH.D.
- Psychologist
- Washington, DC
National Provider Identifier
1811089618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2798
- Practice address
- 815 Delaware Ave SW
Washington, DC 20024-4207 - Phone
- (202) 697-3227
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1183 | AL | |
| Psychologist | 103T00000X | 2798 | CO | Primary |
Addresses
Primary practice location
815 Delaware Ave SW
Washington, DC 20024-4207
Mailing address
815 Delaware Ave SW
Washington, DC 20024-4207
Phone (202) 697-3227
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 |
|---|---|---|---|
| 1183 | AL | MD | Psychologist |
| 2798 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1811089618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 DELAWARE AVE SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200244207",
"telephone_number": "202-697-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 DELAWARE AVE SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200244207",
"telephone_number": "202-697-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "DAVID",
"middle_name": "JERMOE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "1183",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.