DIANE L. REYNOLDS (NPI# 1831217793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831217793 |
| Entity Type | Individual |
| Full Name | DIANE L. REYNOLDS |
| Credential | MA, LADC |
| Practice Address |
390 River St. Springfield VT 05156 |
| Practice Telephone | 8028864500 |
| Practice Fax Number | 8028864520 |
| Mailing Telephone | 8028864500 |
| Mailing Fax Number | 8028864520 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
000387 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BLUE CROSS | 69315 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053577403 | Diane Elizabeth Reynolds | Specialist | 1714 Taft St, Hollywood, FL 33020-2836 | 2008-08-05 |
| 1356532139 | Diane Patricia Reynolds | Marriage & Family Therapist | 1460 7th St Ste 300, Santa Monica, CA 90401-2632 | 2007-08-06 |
| 1134535917 | Diane Reynolds | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2014-07-01 |
| 1811041437 | Diane Marion Reynolds | Physician Assistant | 417 State Street, Webber East, Suite 310, Bangor, ME 04401-1000 | 2007-01-22 |
| 1275524738 | Diane Reynolds | Anesthesiology | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2005-11-03 |
| Street Address |
390 RIVER ST. |
| City | SPRINGFIELD |
| State | VT |
| Zip Code | 05156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066352 | Desiree Biesheuvel | Psychologist | 390 River St., Springfield, VT 05156-2226 | 2005-10-06 |
| 1508181868 | Lori L. Macie | Counselor | 390 River St., Hcrs, Springfield, VT 05156-2226 | 2010-03-30 |
| 1740485747 | Erin F. Boxer | Counselor | 390 River St., Hcrs, Springfield, VT 05156-2226 | 2007-06-19 |
| 1902024193 | Philip W. Sharp | Counselor | 390 River St., Springfield, VT 05156 | 2007-04-23 |
| 1619096302 | Deborah Kelin Smith | Counselor | 390 River St., Springfield, VT 05156 | 2007-03-27 |
| 1013014059 | Lynn M.h. Wickberg | Psychiatry & Neurology | 390 River St., Springfield, VT 05156-2226 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790282580 | Meghan Elizabeth Thomas | Specialist/Technologist | 6 Lincoln St, Springfield, VT 05156 | 2018-04-09 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1528443405 | Dan Ciobanu | Dentist | 700 Charlestown Rd., Springfield, VT 05156 | 2015-07-21 |
| 1871869479 | L & M Family Care Givers Inc | Home Health | 365 Summer Street, Suite 204b, Springfield, VT 05156 | 2012-03-28 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| 1780700609 | James Rizzo | Chiropractor | 160 Wall Street, Springfield, VT 05156 | 2007-03-22 |
| 1023186202 | Theodore Bennett Robbins | Psychiatry & Neurology | 197 Union Street, Springfield, VT 05156 | 2006-12-04 |
| 1225103534 | Katherine M Duhamel | Counselor | 107 Park Street, Springfield, VT 05156 | 2006-11-21 |
| 1306911615 | Meghen Anne Clancy | Clinical Nurse Specialist | Health Care and Rehabilitation Center, 107 Park St, Springfield, VT 05156 | 2006-11-21 |
| Find all providers in zip 05156 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997565 | Dan Wargo | Psychologist | 1749 Bowen Hill Rd, Springfield, VT 05156-9261 | 2020-09-17 |
| 1134733553 | Zachary Downs | Psychologist | 2200 E Sunshine St Ste 203, Springfield, MO 65804-1886 | 2020-09-02 |
| 1184915472 | Creative Renewal & Resolutions, LLC | Psychologist | 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 | 2011-04-21 |
| 1790830818 | Natalie Ann Hall | Psychologist | 2155 Main Street, Springfield, MA 01104 | 2007-01-25 |
| 1386640159 | David L. Black | Psychologist | 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164746459 | Tammie Lowell | Psychologist | 65 Northgate Plaza, Suite 11, Morrisville, VT 05661-5900 | 2010-03-16 |
| 1972752269 | Jessica R. Houser | Psychologist | 3 Main St, Burlington, VT 05401-5216 | 2008-09-11 |
| City | SPRINGFIELD |
| Zip Code | 05156 |
Please comment or provide details below to improve the information on DIANE L. 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.