DR. NICOLE R REYNOLDS PSYD, LP
NPI 1285967422
Psychologist - Clinical in Plymouth, MI

Active since September 04, 2009PECOS EnrolledAccepts Medicare Assignment
158 N MAIN ST, PLYMOUTH, MI 48170(248) 736-5067 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicole R Reynolds Psyd, Lp NPPES

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

DR. NICOLE R REYNOLDS PSYD, LP (NPI 1285967422) is an individual clinical provider in Plymouth, Michigan, licensed in Michigan (6301016052) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285967422
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLE R REYNOLDSCredential: PSYD, LP
Location Address158 N MAIN STPlymouth, MI 48170-1236
Mailing Address20789 Sunnydale StFarmington Hills, MI 48336-5254 · (248) 736-5067
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 4, 2009
Last NPPES UpdateDecember 9, 2016
✔ NPI 1285967422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301016052
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.
158 N MAIN ST, Plymouth, MI 48170

Other Identifiers 1

OtherMI9741001MI · Provider Transaction Access Number (ptan)

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole R Reynolds Psyd, Lp 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 ID5890093058
PECOS Enrollment IDI20250127000136
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
158 N MAIN ST
Plymouth, MI 48170
  • Reassigned Medicare billing, Maryland and Michigan enrollments

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
158 N MAIN ST
PLYMOUTH, MI 48170
Psychologist (Clinical)
158 N MAIN ST
PLYMOUTH, MI 48170
Psychologist
158 N MAIN ST
PLYMOUTH, MI 48170

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 Nicole Reynolds's NPI number?

The NPI number for Nicole Reynolds is 1285967422. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Nicole Reynolds located?

Nicole Reynolds practices at 158 N Main St, Plymouth, MI 48170. The listed phone number is (248) 736-5067.

What is Nicole Reynolds's specialty?

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

Is Nicole Reynolds enrolled in Medicare?

Yes. Nicole 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.

Which organization bills Medicare for Nicole Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Reynolds reassigns Medicare benefits to Nicole Reynolds Psyd LLC (Plymouth, MI). The 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 Nicole Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Reynolds accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Reynolds was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.