DR. MICHAEL CONNELL REYNOLDS PH.D
NPI 1265418560
Counselor - Professional in Eden, NC

Active since December 19, 2005
251 COUNTRY CLUB DR, EDEN, NC 27288(336) 635-1899(336) 635-1899 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Connell Reynolds Ph.d NPPES

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

DR. MICHAEL CONNELL REYNOLDS PH.D (NPI 1265418560) is an individual professional provider in Eden, North Carolina, licensed in North Carolina (4211) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1265418560
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MICHAEL CONNELL REYNOLDSCredential: PH.D
Location Address251 COUNTRY CLUB DREden, NC 27288-3554
Mailing Address251 Country Club DrEden, NC 27288-3554 · (336) 635-1899 · Fax (336) 635-1899
Fax(336) 635-1899
Sole ProprietorYes
Enumeration DateDecember 19, 2005
Last NPPES UpdateMarch 10, 2014
NPI 1265418560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 4211
251 COUNTRY CLUB DR, Eden, NC 27288

Other Identifiers 1

Medicaid6102057NC

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 Reynolds's NPI number?

The NPI number for Michael Reynolds is 1265418560. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Michael Reynolds located?

Michael Reynolds practices at 251 Country Club Dr, Eden, NC 27288. The listed phone number is (336) 635-1899.

What is Michael Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Michael Reynolds was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.