Michelle M Reynolds, PHD, LLC
Psychologist, Clinical in Madison, Connecticut
1467037143- Practice location
- 11 Woodland RD Ste 2, Madison, CT 06443-2380
- Phone
- 203-208-8996
- Fax
- 203-204-1381
- Last updated
- September 19, 2023
Michelle M Reynolds, PHD, LLC is a healthcare organization based in Madison, CT. Michelle M Reynolds, PHD, LLC practices in Madison, CT. The NPI Number for Michelle M Reynolds, PHD, LLC is 1467037143. The current practice location address for Michelle M Reynolds, PHD, LLC is 11 Woodland RD Ste 2, Madison, CT 06443-2380 and can be reached out via phone at 203-208-8996 and via fax at 203-204-1381.
Provider Profile Details
- NPI Number
- 1467037143
- Provider Name
- Michelle M Reynolds, PHD, LLC
- Provider Entity Type
- Organization
- Address
- 11 Woodland RD Ste 2, Madison, CT 06443-2380
- Phone Number
- 203-208-8996
- Fax Number
- 203-204-1381
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Michelle Monaco Reynolds, PHD · Owner · 203-208-8996
- Other Names
- Lifecatalyst (Doing Business As)
Lifecatalyst Therapy & Coaching (Doing Business As) - Provider Enumeration Date
- March 14, 2021
- Last Update Date
- September 19, 2023
- Certification Date
- September 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Woodland RD Ste 2
Madison, CT 06443-2380 - City
- Madison
- State
- Connecticut
- Zip
- 06443-2380
- Phone Number
- 203-208-8996
- Fax Number
- 203-204-1381
Provider Business Mailing Address Details
- Address
- 90 Royal Oak Dr
Durham, CT 06422-1410 - City
- Durham
- State
- CT
- Zip
- 06422-1410
- Phone Number
- 203-208-8996
- Fax Number
- 203-204-1381
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (3)
- Counselor, Professional · 101YP2500X
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (5)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (6)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Connie R Fanelli, PHDPsychologist, Clinical · NPI 1518067313
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Frequently Asked Questions
What is the NPI number of Michelle M Reynolds, PHD, LLC?
The NPI number of Michelle M Reynolds, PHD, LLC is 1467037143. It was assigned on March 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Michelle M Reynolds, PHD, LLC?
Michelle M Reynolds, PHD, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Michelle M Reynolds, PHD, LLC practice?
The practice location is 11 Woodland RD Ste 2, Madison, CT 06443-2380. The office can be reached at 203-208-8996 (phone) or 203-204-1381 (fax).
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 1467037143 directly on the NPPES registry website.