JOHN BRENTLY REYNOLDS II
NPI 1447557442
Counselor - Mental Health in Cambridge, MA
About John Brently Reynolds Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN BRENTLY REYNOLDS II (NPI 1447557442) is an individual mental health provider in Cambridge, Massachusetts and active in the NPI registry since February 2011. He has opted out of Medicare through September 25, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
John Brently Reynolds Ii has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 25, 2025 through September 25, 2027.
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 John Reynolds's NPI number?
The NPI number for John Reynolds is 1447557442. It was assigned to this individual provider in the NPPES registry on February 28, 2011.
Where is John Reynolds located?
John Reynolds practices at 14 Cottage Park Ave, Cambridge, MA 02140. The listed phone number is (405) 921-2180.
What is John Reynolds's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is John Reynolds enrolled in Medicare?
No. John Reynolds has opted out of Medicare through September 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for John Reynolds was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# John Brently Reynolds II · NPI 1447557442
Mental Health provider in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since February 28, 2011.
## Identity
- **NPI:** 1447557442 (Entity type: Individual)
- **Enumerated:** February 28, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14 COTTAGE PARK AVE, Cambridge, MA 02140-1606
- **Phone:** (405) 921-2180
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 25, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 28, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1447557442) · Data from the CMS NPPES public registry.