Emily W Reynolds, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001498 Issued in CT

Practice address

19 Halls Rd Ste 212
Old Lyme, CT 06371-1457

Phone

(860) 876-7488

Fax

(860) 443-4284

NPI assigned

May 19, 2006

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

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.

• Sound Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1396700886
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1891749529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HALLS RD STE 212",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711457",
            "telephone_number": "860-876-7488",
            "fax_number": "860-661-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HALLS RD STE 212",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711457",
            "telephone_number": "860-876-7488",
            "fax_number": "860-443-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EMILY",
        "middle_name": "W",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care for Women Mary Cummings Satti,M.D., LLC
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• Leland Reback, PSYD
• Regional School District #18
• Kimberly Shanice Reid, MD
• Sabine Odonnell LLC
• Bryan Jeffrey Sayles, CPED
• Holly Ann Schiff, PSYD
• Ellen Beth Schnier, LCSW
• Christine Alison Semenza, O.D.

• Professional Counselor in Old Lyme, CT
• Providers in Old Lyme, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.