Glenda Phillips Reynolds, ED. D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1613A Issued in AL

Practice address

575 Ridge Park Dr
Montgomery, AL 36117-8032

Phone

(334) 538-0900

NPI assigned

Jan 31, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• George W. Demuth, M.D. LLC.

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1477799971
  NPD (past)
• Park Place Psychiatry, LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1629108261

  Professional

  NPD (past)

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

{
    "created_epoch": "1264896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264896000000",
    "number": "1982936035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WINTON BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-538-0900",
            "fax_number": "334-356-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIDGE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178032",
            "telephone_number": "334-538-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GLENDA",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "ED. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-31",
        "last_updated": "2010-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C1613A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C1613A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Alberto Reyes-Sacin, MD
• Anthony Reynolds, LPC
• Carol Reynolds
• Cathy Reynolds
• Fallon M. Reynolds, ALC
• Haley Alice' Reynolds, ALC
• Jackson Reynolds, MD
• Jennifer Brown Reynolds, CRNA
• Latonja Reynolds, LPC, NCC
• Liliana Marie Reynolds

• Professional Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; 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.