DR. NICOLE REYNOLDS LLC
NPI 1740801455
Psychologist - Clinical in Astoria, OR

Active since May 04, 2020

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicole Reynolds Llc NPPES

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

DR. NICOLE REYNOLDS LLC (NPI 1740801455) is a healthcare organization registered as a clinical in Astoria, Oregon and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Astoria and lists Nicole Marie Reynolds, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1740801455
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR. NICOLE REYNOLDS LLC
Location Address271 3RD STAstoria, OR 97103-4311
Mailing Address271 3rd StAstoria, OR 97103-4311 · (770) 883-3038
Organization SubpartNo
Authorized OfficialNicole Marie ReynoldsClinical Psychologist · (770) 883-3038
Enumeration DateMay 4, 2020
NPPES CertifiedMay 4, 2020
NPI 1740801455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
Also ListedPsychologist · HealthTaxonomy 103TH0004X
271 3RD ST, Astoria, OR 97103

Secondary Practice Location 1

Location 11350 Exchange StAstoria, OR 97103-3920 · Phone (646) 580-7038

Other Identifiers 1

Medicaid500732686OR

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Dr. Nicole Reynolds LLC's NPI number?

The NPI number for Dr. Nicole Reynolds LLC is 1740801455. It was assigned to this organization in the NPPES registry on May 4, 2020.

Where is Dr. Nicole Reynolds LLC located?

Dr. Nicole Reynolds LLC is located at 271 3rd St, Astoria, OR 97103. The listed phone number is (770) 883-3038.

What is Dr. Nicole Reynolds LLC'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 Dr. Nicole Reynolds LLC was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.