MICHAEL J REISS PSYD LLC
NPI 1205304805
Psychologist - Clinical in Glastonbury, CT

Q: What is Michael J Reiss Psyd LLC's NPI number?

The NPI number for Michael J Reiss Psyd LLC is 1205304805. It was assigned to this organization in the NPPES registry on November 13, 2018.

Q: What is Michael J Reiss Psyd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since November 13, 2018

200A OAK ST, GLASTONBURY, CT 06033(860) 657-8868 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2020, Nov 13, 2018 (2 updates tracked since 2018).

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About Michael J Reiss Psyd Llc NPPES

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

MICHAEL J REISS PSYD LLC (NPI 1205304805) is a healthcare organization registered as a clinical in Glastonbury, Connecticut and active in the NPI registry since November 2018. The organization lists Michael J Reiss, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1205304805

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMICHAEL J REISS PSYD LLC

Location Address200A OAK STGlastonbury, CT 06033-2320

Mailing Address200a Oak StGlastonbury, CT 06033-2320 · (860) 657-8868 · Fax (860) 657-8802

Phone(860) 657-8868

Organization SubpartNo

Authorized OfficialMichael J ReissPsychologist · (860) 657-8868

Enumeration DateNovember 13, 2018

Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration

NPPES CertifiedJuly 23, 2020

✔ NPI 1205304805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

200A OAK ST, Glastonbury, CT 06033

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Reiss Psyd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael J Reiss Psyd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Reiss, M.A.

Clinical Psychologist

NPI 1740737139

282 WASHINGTON ST
Hartford, CT 06106

(860) 545-9520

✔ PECOS✔ Accepts Medicare5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael J Reiss Psyd LLC's NPI number?

The NPI number for Michael J Reiss Psyd LLC is 1205304805. It was assigned to this organization in the NPPES registry on November 13, 2018.

Where is Michael J Reiss Psyd LLC located?

Michael J Reiss Psyd LLC is located at 200A Oak St, Glastonbury, CT 06033. The listed phone number is (860) 657-8868.

What is Michael J Reiss Psyd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael J Reiss Psyd LLC enrolled in Medicare?

Yes. Michael J Reiss Psyd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael J Reiss Psyd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Michael J Reiss Psyd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael J Reiss Psyd LLC was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.