NICOLE REYNOLDS PSYD LLC
NPI 1316306418
Clinic/Center - Mental Health (Including Community Mental Health Center) in Plymouth, MI
About Nicole Reynolds Psyd Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE REYNOLDS PSYD LLC (NPI 1316306418) is a healthcare organization registered as a mental health (including community mental health center) in Plymouth, Michigan and active in the NPI registry since February 2016. The organization lists Nicole R Reynolds, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Reynolds 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 Nicole Reynolds Psyd LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Nicole Reynolds Psyd LLC's NPI number?
The NPI number for Nicole Reynolds Psyd LLC is 1316306418. It was assigned to this organization in the NPPES registry on February 17, 2016.
Where is Nicole Reynolds Psyd LLC located?
Nicole Reynolds Psyd LLC is located at 158 N Main St, Plymouth, MI 48170. The listed phone number is (248) 736-5067.
What is Nicole Reynolds Psyd LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Nicole Reynolds Psyd LLC enrolled in Medicare?
Yes. Nicole Reynolds Psyd LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicole Reynolds Psyd LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Nicole Reynolds 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.
What insurance does Nicole Reynolds Psyd LLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole Reynolds Psyd LLC 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 Psyd LLC was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Nicole Reynolds Psyd Llc · NPI 1316306418
Mental Health (Including Community Mental Health Center) organization in Plymouth, Michigan. Organization record, active in the CMS NPPES registry since February 17, 2016.
## Identity
- **NPI:** 1316306418 (Entity type: Organization)
- **Enumerated:** February 17, 2016
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Nicole Reynolds, OWNER/OPERATOR
## Practice location
- **Address:** 158 N MAIN ST, Plymouth, MI 48170-1236
- **Phone:** (248) 736-5067
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1316306418) · Data from the CMS NPPES public registry.