Diane L. Reynolds, MA, LADC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

000387 Issued in VT

Practice address

390 River St.
Springfield, VT 05156

Phone

(802) 886-4500

Fax

(802) 886-4520

NPI assigned

Mar 27, 2007

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1831217793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RIVER ST.",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "05156",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 RIVER ST.",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "05156",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DIANE",
        "middle_name": "L.",
        "credential": "MA, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "69315",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James Rizzo, DC

• Addiction (Substance Use Disorder) Psychologist in Springfield, VT
• Providers in Springfield, VT by specialty
• Addiction (Substance Use Disorder) Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.