STEPHEN ANTHONY REYNOLDS (NPI# 1679906614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679906614 |
Entity Type | Individual |
Full Name | STEPHEN ANTHONY REYNOLDS |
Credential | PSYD |
Practice Address |
1684 Ala Moana Blvd Apt 252 Honolulu HI 96815 |
Mailing Address |
540 S Eremland Dr Covina CA 91723-3186 |
Practice Telephone | 4152461750 |
Mailing Telephone | 6269661577 |
Enumeration Date | 2013-08-13 |
Last Update Date | 2018-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
30232 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | AMERICAN PSYCHOLOGICAL ASSOCIATION | 2886-3412 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932713831 | Stephen James Layne Reynolds | Technician | 4825 Browns Creek Rd, Saint Albans, WV 25177-8740 | 2020-09-08 |
1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
1679959019 | Stephen Reynolds | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave Rm M1184, Division of Cardiology, San Francisco, CA 94143-0124 | 2015-08-08 |
1245624683 | Stephen Reynolds | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2015-03-24 |
Street Address |
1684 ALA MOANA BLVD APT 252 |
City | HONOLULU |
State | HI |
Zip Code | 96815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
1376661074 | Straub Clinic & Hospital | Durable Medical Equipment & Medical Supplies | Straub - Doctors On Call, 120 Kaiulani Ave, Lobby Level, Honolulu, HI 96815 | 2007-03-27 |
Find all providers in zip 96815 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992319008 | Rachel Huxel | Psychologist | 1821 Keeaumoku St Apt 201, Honolulu, HI 96822-3005 | 2020-09-04 |
1386256626 | Gabriela Cretu Cretu | Psychologist | 3820 Pukalani Pl, Honolulu, HI 96816-3816 | 2020-08-18 |
1427513563 | Hannah Im | Psychologist | 377 Keahole St Ste 210, Honolulu, HI 96825-3405 | 2019-02-03 |
1265928873 | Amy Humphrey | Psychologist | 615 Piikoi St Ste 1605, Honolulu, HI 96814-3142 | 2018-07-06 |
1346750338 | Nikita M Hay | Psychologist | 361 Hobron Ln, Honolulu, HI 96815-1039 | 2017-10-04 |
1346765336 | Vilmarie Baez | Psychologist | 1600 Kapiolani Blvd Ste 1340, Honolulu, HI 96814-3806 | 2017-08-10 |
1750815114 | Alex Bliss Walter | Psychologist | 1221 Kapiolani Blvd, Penthouse 38, Hawaii Psychology Collective, Honolulu, HI 96814 | 2017-04-12 |
1124567151 | Apostolis Amaxopoulos | Psychologist | 1608 Keeaumoku St, Honolulu, HI 96822-4310 | 2017-02-23 |
1700323763 | Istvan Kacso | Psychologist | 1415 Victoria St Apt 1103, Honolulu, HI 96822-3542 | 2017-01-27 |
1376085050 | Julie Yurie Takishima-lacasa | Psychologist | 850 W Hind Dr Ste 202, Honolulu, HI 96821-1845 | 2016-11-10 |
Find all providers in HONOLULU |
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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.