MR. GREGORY HOMAN REYNOLDS


Address: 40a Main St, Westhampton Beach, NY 11978-2673
Phone: 6312881954

MR. GREGORY HOMAN REYNOLDS (NPI# 1760750921) 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) 1760750921
Entity Type Individual
Full Name MR. GREGORY HOMAN REYNOLDS
Credential LCSW, CASAC
Practice Address 40a Main St
Westhampton Beach
NY 11978-2673
Practice Telephone 6312881954
Practice Fax Number 6312881955
Mailing Telephone 6312881954
Mailing Fax Number 6312881955
Enumeration Date 2011-12-02
Last Update Date 2016-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
24431 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02056453 05

Other Providers GREGORY REYNOLDS

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1790158848 Gregory Arno Reynolds Student in an Organized Health Care Education/Training Program 4610 X St, Sacramento, CA 95817-2200 2015-11-10
1053587295 Gregory Evan Reynolds Counselor 131 Market St, Johnstown, PA 15901-1628 2008-05-07
1508060419 Gregory L. Reynolds Speech-Language Pathologist 460 W 34th St, 11th Floor, New York, NY 10001-2320 2007-06-13
1437288404 Gregory Reynolds Obstetrics & Gynecology 1450 Matthews Township Pkwy, Suite 200, Matthews, NC 28105-2387 2007-03-05
1164521522 Gregory Allen Reynolds Physician Assistant 2525 E Roosevelt St, Phoenix, AZ 85008-4948 2006-09-22
1740205871 Gregory Reynolds Nurse Anesthetist, Certified Registered 9515 Holy Cross Ln, Breese, IL 62230-3618 2006-07-12

Office Location

Street Address 40A MAIN ST
City WESTHAMPTON BEACH
State NY
Zip Code 11978-2673

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619502242 Westhampton Beach Podiatry P.C. Podiatrist 70 C Old Riverhead Road, Westhampton Beach, NY 11978 2020-03-04
1750814711 Magda Kowalczykowski Student in an Organized Health Care Education/Training Program 147 Beach Road, (at Montauk Highway), Westhampton Beach, NY 11978 2017-04-06
1639612609 Sara L. Heim Physical Therapist 405 Gettysburg Drive, Westhampton Beach, NY 11978 2016-11-23
1699046763 Corinne Karpf Registered Nurse 7 Seafield Lane, Westhampton Beach, NY 11978 2012-01-22
1013291012 Judith Margolis Social Worker 3026 Mitchell Road, West Hampton Beach, NY 11978 2011-10-10
1811276611 Suzanne D Kelly Social Worker 323 Mill Rd, Westhampton Beach, NY 11978 2011-08-10
1023326378 Melissa Anne Ryan Social Worker 215 0ld Rivehead Road, Westhampton Beach, NY 11978 2010-09-21
1346485471 Jody Lynn Cross Counselor 40 A Main St, Westhampton Beach, NY 11978 2008-12-03
1528216819 Margaret Brogan Occupational Therapist 340 Mill Road, Westhampton Beach U.f.s.d., Westhampton Beach, NY 11978 2008-08-29
1184825952 Marilyn Dignan Social Worker 380 Mill Road, Mill Roast West Hampton Beach, Ny, NY 11978 2007-05-30
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932215381 Maggie J. Bloomfield Counselor C/o Integrative Counseling Services, 10 Oak #3, Westhampton Beach, NY 11978 2006-08-21
1699223313 Katherine Portillo Counselor 16 Library Ave, Westhampton Beach, NY 11978-2664 2016-09-12
1437543709 Dale Verga Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2015-03-25
1326455882 Joseph Ronald Bieniewicz Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2014-07-16
1780008052 Chester G. Merrill Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2014-02-07
1518381920 John Terrance Sullivan Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2014-02-06
1164845822 James O'brien Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2014-01-30
1275956930 Barbara Frisina Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2014-01-30
1700209541 Joseph Bucci Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2014-01-30
1508289380 Dina Darcy Counselor 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2014-01-29
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Competitor

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City WESTHAMPTON BEACH
Zip Code 11978

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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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