NICOLE REYNOLDS (NPI# 1598133043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598133043 |
| Entity Type | Individual |
| Full Name | NICOLE REYNOLDS |
| Credential | PSYD |
| Practice Address |
2158 Exchange St # 304 Astoria OR 97103-3316 |
| Practice Telephone | 5033258315 |
| Practice Fax Number | 5033258602 |
| Mailing Telephone | 5033258315 |
| Mailing Fax Number | 5033258602 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 100367 | OR | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 021347 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 82-68 164th St, Queens Hospital Center, Pavilion 412, Jamaica, NY 11432 | 7708833038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467843482 | Nicole Reynolds | Occupational Therapist | 2638 Wende Rd, Alden, NY 14004-9315 | 2015-02-12 |
| 1619104528 | Nicole Marie Reynolds | Physical Therapist | 2600 Old Washington Rd Ste 250, Suite 205, Pittsburgh, PA 15241-2595 | 2009-06-18 |
| 1235384769 | Nicole M Reynolds | Physical Therapist | 4205 Longbranch Rd, Liverpool, NY 13090-3213 | 2008-11-25 |
| 1831707728 | Nicole Reynolds | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-07-16 |
| 1689214272 | Nicole Reynolds | Behavior Technician | 32650 State Route 20 Ste E204, Oak Harbor, WA 98277-2686 | 2020-01-10 |
| 1851957179 | Nicole Reynolds | Counselor | 20 Cedar St, Worcester, MA 01609-2520 | 2019-05-13 |
| 1124560933 | Nicole Reynolds | Speech-Language Pathologist | 9041 Executive Park Dr Ste 126, Knoxville, TN 37923-4603 | 2016-11-09 |
| 1508313727 | Nicole Sarah Reynolds | Dietitian, Registered | 2315 Stockton Blvd, Sesp 0p160, Sacramento, CA 95817-2201 | 2016-09-06 |
| 1124376355 | Nicole Marie Reynolds | Physician Assistant | 1035 Piper Blvd Ste 101, Naples, FL 34110 | 2012-08-20 |
| 1699021659 | Nicole Reynolds | Physical Therapist | 535 Centerville Rd, Suite 101, Warwick, RI 02886-4486 | 2012-07-27 |
| Street Address |
2158 EXCHANGE ST # 304 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058224 | Jordan Clemente | Physician Assistant | 2158 Exchange St # 304, Astoria, OR 97103-3316 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272035 | Brady A. Berman | Psychologist | 2763 Crescent St Apt 3f, Astoria, NY 11102-3135 | 2020-07-10 |
| 1366086829 | Nikki Katsiotas | Psychologist | 3801 23rd Ave Ste 306, Astoria, NY 11105-1978 | 2019-10-28 |
| 1609187814 | Daniel Damian | Psychologist | 2805 43rd St, Apt # 2h, Astoria, NY 11103-2106 | 2010-06-23 |
| 1518299783 | Yesenia Camacho | Psychologist | 2525 14th St, Apt 2f, Astoria, NY 11102-3720 | 2010-02-12 |
| 1427389824 | Heather A. Bee | Psychologist | 818 Commercial St Ste 406, Astoria, OR 97103-4540 | 2010-01-25 |
| 1821328352 | Rachel Janine Nilsen | Psychologist | 3089 42nd St, Astoria, NY 11103-3028 | 2010-01-06 |
| 1407977937 | Frank H. Satterwhite | Psychologist | 36634 Christians Ln, Astoria, OR 97103-8116 | 2007-04-02 |
| 1356406862 | Vaia Delidimitropulu | Psychologist | 3109 37th St, Astoria, NY 11103-3932 | 2006-12-26 |
| 1235773086 | Jessica Koblenz, Psyd, Pllc | Psychologist | 3801 23rd Ave Ste 306, Astoria, NY 11105-1978 | 2019-11-05 |
| 1518316025 | Heather A. Bee Psy.d., LLC, Licensed Psychologist | Psychologist | 818 Commercial St Ste 406, Astoria, OR 97103-4540 | 2016-06-06 |
| Find all providers in ASTORIA | ||||
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| 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.