Bradley S Reynolds

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6293 Issued in MA

Practice address

218 East Rd
Hampstead Hospital
Hampstead, NH 03841-2305

Phone

(603) 329-5311

Fax

(603) 329-9374

NPI assigned

Apr 6, 2006

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

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Boston University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Silvia R. Von Sacken, PLLC

  • Clinical Social Worker
  • Hampstead, NH
  • NPI 1780865105
  NPD (past)
• Aurora Counseling LLC

  • Adult Mental Health Clinic/Center
  • Sharon, MA
  • NPI 1144698671
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1972565729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WACHUSETT DRIVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216913",
            "telephone_number": "781-367-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 EAST RD",
            "address_2": "HAMPSTEAD HOSPITAL",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038412305",
            "telephone_number": "603-329-5311",
            "fax_number": "603-329-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Perry, ACNP
• Tara Lynne Pollard, M.S., CCC-SLP
• Pragmatic ABA
• Psychiatrist Hampstead
• Carol A Rainville, ND
• Tara J Roark-Towle
• Rockingham Counseling Center
• Kaleigh Santa Clara, LICSW
• Margot Schrader, MA
• Senior Class Corporation

• All providers in Hampstead, NH
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.