Active NPIIndividual providerSole proprietor

Michael Reynolds, MD

Psychiatry & Neurology, Addiction Medicine in Morgantown, West Virginia

NPI Number1407907603
Practice location
930 Chestnut Ridge RD, Morgantown, WV 26505-2807
Fax
—
Last updated
January 28, 2023

Michael Reynolds is a Psychiatry & Neurology, Addiction Medicine based in Morgantown, WV. Michael Reynolds practices in Morgantown, WV and has the professional credentials of MD. The NPI Number for Michael Reynolds is 1407907603 and holds a License No. 204928 (MA). The current practice location address for Michael Reynolds is 930 Chestnut Ridge RD, Morgantown, WV 26505-2807 and can be reached out via phone at 304-598-4214.

Provider Profile Details

NPI Number
1407907603
Provider Name
Michael Reynolds
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
930 Chestnut Ridge RD, Morgantown, WV 26505-2807
Phone Number
304-598-4214
Primary Taxonomy
Psychiatry & Neurology, Addiction Medicine · 2084A0401X
Sole Proprietor
Yes
Provider Enumeration Date
January 15, 2007
Last Update Date
January 28, 2023
Certification Date
January 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
930 Chestnut Ridge RD
Morgantown, WV 26505-2807
Zip
26505-2807
Phone Number
304-598-4214
Morgantown, WV 26505Get directions →

Provider Business Mailing Address Details

Address
20 Kenwood Avenue
Worcester, MA 01605
City
Worcester
State
MA
Zip
01605
Phone Number
508-304-9188

License Information

License Number (1)
204928
License State (1)
MA
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
31684
License State (2)
WV
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
31684
License State (3)
WV
Taxonomy (3)
Psychiatry & Neurology, Addiction Medicine · 2084A0401X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Reynolds, MD?

The NPI number of Michael Reynolds, MD is 1407907603. It was assigned on January 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Michael Reynolds, MD?

Michael Reynolds, MD is registered under the primary taxonomy Psychiatry & Neurology, Addiction Medicine (code 2084A0401X), licensed in MA under license number 204928.

Where does Michael Reynolds, MD practice?

The practice location is 930 Chestnut Ridge RD, Morgantown, WV 26505-2807. The office can be reached at 304-598-4214 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407907603 directly on the NPPES registry website.

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