1. Home
  2. Directory
  3. Massachusetts
  4. Brockton
  5. Counselor
  6. NPI Profile

MS. SANDRA JEAN REYNOLDS
NPI 1083890727
Counselor - Mental Health in Brockton, MA

Active since January 11, 2008PECOS EnrolledAccepts Medicare Assignment
15 BOLTON PL, 15A, BROCKTON, MA 02301(508) 427-4383(508) 584-4328 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sandra Jean Reynolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SANDRA JEAN REYNOLDS (NPI 1083890727) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083890727
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SANDRA JEAN REYNOLDS
Location Address15 BOLTON PL, 15ABrockton, MA 02301-5316
Mailing Address15a Bolton PlaceBrockton, MA 02301 · (508) 427-4383 · Fax (508) 584-4328
Phone(508) 427-4383
Fax(508) 584-4328
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 11, 2008
✔ NPI 1083890727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15 BOLTON PL, Brockton, MA 02301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sandra Jean Reynolds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789127416
PECOS Enrollment IDI20240621002252
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA L LACOUTURE LICSW
Social Worker (Clinical)
15 BOLTON PL
BROCKTON, MA 02301
Plymouth County (508) 427-4383
MRS. BERNADETE HILL M.ED
Social Worker (Clinical)
15 BOLTON PL
BROCKTON, MA 02301
Plymouth County (508) 427-4383
KIMBERLY ANN WENSLEY
Social Worker (Clinical)
15 BOLTON PL
BROCKTON, MA 02301
Plymouth County (508) 427-4383
JESSICA ANN MATOS LCSW
Social Worker (Clinical)
15 BOLTON PL
BROCKTON, MA 02301
Plymouth County (508) 427-4383
MRS. DOREEN GERMAINE SOUZA MSW
Social Worker (Clinical)
15 BOLTON PL
BROCKTON, MA 02301
Plymouth County (508) 427-4383
MR. GARY L CALHOUN LICSW, PH.D
Social Worker (Clinical)
15 BOLTON PL
BROCKTON, MA 02301
Plymouth County (508) 427-4383
MISS SARAH STEWART LICSW
Social Worker (Clinical)
15 BOLTON PL, YMCA MENTAL HEALTH CLINIC
BROCKTON, MA 02301
Plymouth County (508) 587-1896
DAVID WINFIELD RYDER
Social Worker (Clinical)
15 BOLTON PL
BROCKTON, MA 02301
Plymouth County (508) 427-4383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Reynolds's NPI number?

The NPI number for Sandra Reynolds is 1083890727. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Sandra Reynolds located?

Sandra Reynolds practices at 15 Bolton Pl 15A, Brockton, MA 02301. The listed phone number is (508) 427-4383.

What is Sandra Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sandra Reynolds enrolled in Medicare?

Yes. Sandra Reynolds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sandra Reynolds was last updated on January 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.