DR. JASON REYNOLDS


Address: 710 S Broadway, Walnut Creek, CA 94596-5294
Phone: 9252952982

DR. JASON REYNOLDS (NPI# 1649631821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649631821
Entity Type Individual
Full Name DR. JASON REYNOLDS
Credential PSYD
Practice Address 710 S Broadway
Walnut Creek
CA 94596-5294
Practice Telephone 9252952982
Enumeration Date 2016-03-15
Last Update Date 2016-03-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY27649 CA Behavioral Health & Social Service Providers

Other Providers JASON REYNOLDS

NPI Name Taxonomy Address Enumeration
1104233758 Jason Reynolds Case Manager/Care Coordinator 2704 Waterford Rd, Mt Washington, KY 40047-7585 2014-07-15
1366686693 Jason Harold Reynolds Urology 1700 Ring Road, Hardin Memorial Hospital Surgical Specialists, Elizabethtown, KY 42701 2009-04-30
1023672441 Jason Reynolds Counselor 6013 S Redwood Rd, Taylorsville, UT 84123-5220 2019-05-01
1437619103 Jason William Reynolds Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd, Brooksville, FL 34613-5409 2019-03-20
1801350442 Jason Scott Reynolds Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2019-01-28
1033615406 Jason Jack Reynolds Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-0001 2018-04-03
1568840874 Jason Allan Reynolds Case Manager/Care Coordinator 510 E Will Rogers Blvd, Claremore, OK 74017-8428 2015-05-07
1255725743 Jason D Reynolds Student in an Organized Health Care Education/Training Program 1493 Cambridge St, Cambridge, MA 02139-1047 2015-03-24
1912241407 Jason Reynolds Behavioral Analyst 3153 E Warm Springs Rd, #200, Las Vegas, NV 89120-3141 2012-11-21
1790012235 Jason Maxwayne Reynolds Chiropractor 16200 Amber Valley Dr, Whittier, CA 90604-4051 2009-11-04

Office Location

Street Address 710 S BROADWAY
City WALNUT CREEK
State CA
Zip Code 94596-5294

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376552836 Fred K Sondheimer Specialist 710 S Broadway, Suite 203, Walnut Creek, CA 94596-5294 2006-08-05
1861009045 Damari Simon Behavior Technician 710 S Broadway, Walnut Creek, CA 94596-5294 2020-09-30
1932716115 Isabella Blumin Behavior Technician 710 S Broadway, Walnut Creek, CA 94596-5294 2020-09-30
1174176937 Tina Kay Chov Pharmacist 710 S Broadway, Walnut Creek, CA 94596-5294 2019-07-22
1124681077 Nicole Alexandra Torres Behavior Technician 710 S Broadway, Walnut Creek, CA 94596-5294 2019-04-17
1508333618 Jessica Bergstrom Psychologist 710 S Broadway, Walnut Creek, CA 94596-5294 2018-10-26
1710463518 Andrea Secoquian Williams Behavioral Analyst 710 S Broadway, Walnut Creek, CA 94596-5294 2018-07-14
1700375599 Miriam Walter Psychologist 710 S Broadway, Walnut Creek, CA 94596-5294 2018-05-07
1134670615 Amy Beth Cohen Psychologist 710 S Broadway, Walnut Creek, CA 94596-5294 2016-10-19
1093168312 Kaiser Permanente Health Maintenance Organization 710 S Broadway, Walnut Creek, CA 94596-5294 2016-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467917229 Alison M Khaddour Behavior Technician 800 S Broadway Ste. 310, Walnut Creek, CA 94596 2019-02-06
1134683618 Ian Colas Respiratory Therapist, Certified 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 2019-01-29
1912474131 Albert Dizon Miraflores Behavior Technician 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 2018-10-25
1487136834 Daryn Stier Social Worker 80 Norlyn Drive, Walnut Creek, CA 94596 2018-09-02
1831682335 Jessica Lim Registered Nurse 1357 Oakland Blvd, Walnut Creek, CA 94596 2018-06-08
1699278432 Alanna Everhart Behavior Technician 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 2018-03-16
1962958108 Derek Jue Md Clinic/Center 1812 San Miguel Drive, Walnut Creek, CA 94596 2016-08-28
1912369711 Pamela Jean Lister Marriage & Family Therapist 2070 N Broadway, #5370, Walnut Creek, CA 94596 2016-03-22
1548635147 Anne Lamoreaux Anderson Behavioral Analyst 800 South Broadway Suite #310, Walnut Creek, CA 94596 2015-12-08
1346619434 Christine Anne Gotelli Registered Nurse 370 N. Civic Drive #311, San Francico, CA 94596 2015-09-18
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689218216 Dahlia Magdy Psychologist 710 S Broadway Ste 205, Walnut Creek, CA 94596-5233 2019-11-06
1881079648 Victor Leonard Bernstein Psychologist 1225 Alpine Rd #208, Walnut Creek, CA 94596 2015-07-22
1023499068 Zeinab Mossadeghi Psychologist 1910 Olympic Blvd Ste 220, Walnut Creek, CA 94596-5071 2015-06-16
1669896189 Summit Center Psychologist 700 Ygnacio Valley Rd, Suite 320, Walnut Creek, CA 94596-3849 2014-02-05
1093146904 Randall Kolin Psychologist 1600 S Main St Ste 220, Walnut Creek, CA 94596-5376 2013-12-02
1235486523 Margarita Lorence Psychologist 1460 Maria Ln Ste 360, Walnut Creek, CA 94596-8804 2012-08-06
1053603795 John Lino Gasperoni, Ph.d., Psychologist, P.C. Psychologist 3050 Citrus Cir Ste 202, #202, Walnut Creek, CA 94598-2662 2011-05-13
1740589076 Sharon Muhlenkort Psychologist 1204 Alpine Road Suite 4, Walnut Creek, CA 94596 2011-03-25
1174837132 James W Partington Psychologist 311 Lennon Ln Ste A, Walnut Creek, CA 94598-2418 2010-08-02
1548599897 Patricia Esperanza Zurita Ona Psychologist 45 Quail Ct Ste 203, Walnut Creek, CA 94596-8729 2009-12-16
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Competitor

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City WALNUT CREEK
Zip Code 94596

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Dataset Information

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.

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