HARRELL M. REZNICK, PH.D. AND ASSOCIATES (NPI# 1093122822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093122822 |
| Entity Type | Organization |
| Organization Name | HARRELL M. REZNICK, PH.D. AND ASSOCIATES |
| Practice Address |
12792 Longden St Garden Grove CA 92845-2627 |
| Practice Telephone | 7148911420 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | DR. HARRELL REZNICK (OWNER) |
| Authorized Official Telephone | 7148911420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers |
| Street Address |
12792 LONGDEN ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92845-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295085660 | Harrell M Reznick | Psychologist | 12792 Longden St, Garden Grove, CA 92845 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059352 | Maria Sanchez Selvas | Technician | 5922 Belgrave Ave, Garden Grove, CA 92845 | 2019-08-21 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1154745594 | Amanda Siu | Dentist | 12062 Valley View St #250, Garden Grove, CA 92845 | 2014-02-05 |
| 1093065328 | Jessica Eldridge | Psychologist | 12777 Valley View, Suite 212, Garden Grove, CA 92845 | 2012-09-13 |
| 1205114501 | Hideki Ikeda D.d.s., M.s., Dental Corporation | Dentist | 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 | 2011-08-03 |
| 1669652533 | David D. Brown | Psychiatry & Neurology | 12062 Valley View St Ste 107, Garden Grove, CA 92845 | 2007-11-08 |
| 1427267608 | Stacy Derenard | Speech-Language Pathologist | 12060 Valley View St, Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1992914170 | Erin Dawn Densmore | Speech-Language Pathologist | 12060 Valley View St., Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1902944929 | Regency Hospice Inc | Hospice Care, Community Based | 12062 Valley View Street #125, Garden Grove, CA 92845 | 2007-02-02 |
| 1578652418 | Paul D Mckinley | Family Medicine | 12556 Valley View Street, Garden Grove, CA 92845 | 2006-10-11 |
| Find all providers in zip 92845 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708334 | Wright Conscious Counseling, A Psychological Corporation | Psychologist | 26895 Aliso Creek Rd Ste B160, Aliso Viejo, CA 92656-5301 | 2019-12-27 |
| 1720632631 | Efren Esparza | Psychologist | 525 Cabrillo Park Dr Ste 300525, Santa Ana, CA 92701-5017 | 2019-07-29 |
| 1649742479 | Cristina Ambos Wilson | Psychologist | 108 Holly Way, Pismo Beach, CA 93449-3221 | 2018-12-18 |
| 1871097311 | Chelsea By The Sea | Psychologist | 10211 Kukui Dr, Huntington Beach, CA 92646-2518 | 2018-03-20 |
| 1033636501 | Khachik Petrosyan | Psychologist | 1225 Oakridge Dr, Glendale, CA 91205-3412 | 2017-08-25 |
| 1891151213 | Shyma El Sayed | Psychologist | 1029 H St, 403, Sacramento, CA 95814-2847 | 2016-01-14 |
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1669864302 | T. Adelstein, Ph.d., Psychologist, P.C. | Psychologist | 150 Morning Sun Ave, Mill Valley, CA 94941-3507 | 2015-03-03 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1619399052 | Kerry Hubel | Psychologist | 480 N 1st St, San Jose, CA 95112-4043 | 2014-01-18 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92845 |
Please comment or provide details below to improve the information on HARRELL M. REZNICK, PH.D. AND ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.