MR. BRET LEON REYNOLDS (NPI# 1477813921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477813921 |
| Entity Type | Individual |
| Full Name | MR. BRET LEON REYNOLDS |
| Practice Address |
245 Inger Dr Suite 103/b Santa Maria CA 93454-8669 |
| Mailing Address |
141 N 10th St Grover Beach CA 93433-2140 |
| Practice Telephone | 8053575902 |
| Mailing Telephone | 8057107341 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
| Street Address |
245 INGER DR SUITE 103/B |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-8669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689717258 | Good Samaritan Shelter | Community/Behavioral Health | 245 Inger Dr, Ste 103b, Santa Maria, CA 93454-8669 | 2007-02-14 |
| 1265984710 | Ernest Panoo | Counselor | 245 Inger Dr, S, Santa Maria, CA 93454-8669 | 2016-11-01 |
| 1790191294 | Good Samaritan Services | Early Intervention Provider Agency | 245 Inger Dr, 103 B, Santa Maria, CA 93454-8669 | 2014-07-03 |
| 1023447257 | Sheryl Dewald | Counselor | 245 Inger Dr, Santa Maria, CA 93454-8669 | 2013-11-07 |
| 1871858100 | Frances Inez Holliday | Counselor | 245 Inger Dr, Suite 103 B, Santa Maria, CA 93454-8669 | 2012-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994523 | Michelle M Knudsen | Counselor | 412 E Tunnel, Santa Maria, CA 93454-9345 | 2020-05-26 |
| 1891315438 | Jessica Marie Aragonez | Counselor | 521 E Chapel St, Santa Maria, CA 93454-4573 | 2020-04-23 |
| 1346715091 | Lisa Christine Button | Counselor | 245 Inger Dr Ste 103b, Santa Maria, CA 93454-8669 | 2018-10-09 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1518416221 | Eliot Davis | Counselor | 115 E. Fesler St, Santa Maria, CA 93454 | 2016-09-23 |
| 1033564984 | Alexandria Conrad | Counselor | 4229 Fernview St, Santa Maria, CA 93455-3323 | 2016-04-28 |
| 1023483187 | Chanel Carreira | Counselor | 1414 S Miller St Ste 11, Santa Maria, CA 93454-6916 | 2015-12-01 |
| 1518353093 | Eileen Ortiz | Counselor | 245 Inger Dr Ste 103-b, Santa Maria, CA 93454-8669 | 2015-04-10 |
| 1487067922 | Aegis Treatment Centers | Counselor | 2534 Logan Dr, Santa Maria, CA 93455-7443 | 2014-06-03 |
| 1649697913 | John Coates | Counselor | 1723 Adler Ct, Santa Maria, CA 93458-7313 | 2014-03-25 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on MR. BRET LEON REYNOLDS.
| 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.