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TINA DICICCO REYNOLDS, PA
NPI 1336421718
Psychologist - Clinical in Pembroke Pines, FL

Active since September 12, 2011
11401 NW 14TH CT, PEMBROKE PINES, FL 33026(954) 787-9711(954) 787-8116 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tina Dicicco Reynolds, Pa NPPES

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

TINA DICICCO REYNOLDS, PA (NPI 1336421718) is a healthcare organization registered as a clinical in Pembroke Pines, Florida and active in the NPI registry since September 2011. The organization lists Tina Dicicco Reynolds, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1336421718
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTINA DICICCO REYNOLDS, PA
Location Address11401 NW 14TH CTPembroke Pines, FL 33026
Mailing Address11401 Nw 14th CtPembroke Pines, FL 33026-2505 · (954) 249-1871 · Fax (954) 787-9711
Phone(954) 787-9711
Fax(954) 787-8116
Organization SubpartNo
Authorized OfficialTina Dicicco ReynoldsPsychologist/owner · (954) 787-9711
Enumeration DateSeptember 12, 2011
Last NPPES UpdateMay 6, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1336421718 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 FL · PY 7384
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.
11401 NW 14TH CT, Pembroke Pines, FL 33026
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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

Other Providers at the Same Location NPPES

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

DR. TINA DICICCO REYNOLDS PSY.D.
Psychologist (Clinical)
11401 NW 14TH CT
PEMBROKE PINES, FL 33026
Broward County (954) 787-9711

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 Tina Dicicco Reynolds, PA's NPI number?

The NPI number for Tina Dicicco Reynolds, PA is 1336421718. It was assigned to this organization in the NPPES registry on September 12, 2011.

Where is Tina Dicicco Reynolds, PA located?

Tina Dicicco Reynolds, PA is located at 11401 NW 14th Ct, Pembroke Pines, FL 33026. The listed phone number is (954) 787-9711.

What is Tina Dicicco Reynolds, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Tina Dicicco Reynolds, PA was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.