DR. GRAHAM REYNOLDS PHD
NPI 1831563147
Psychologist in New York, NY

Active since November 24, 2015Opted out of Medicare · through Jun 26, 2027
136 E 57TH ST STE 1101, NEW YORK, NY 10022(212) 308-2440 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 21, 2017, Feb 21, 2017 and 1 more (4 updates tracked since 2015).

About Dr. Graham Reynolds Phd NPPES

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

DR. GRAHAM REYNOLDS PHD (NPI 1831563147) is an individual psychologist in New York, New York, licensed in New York (022026) and active in the NPI registry since November 2015. He has opted out of Medicare through June 26, 2027 and remains eligible to order and refer and maintains a secondary practice location in Hicksville.

NPPES Registry Identity

NPI1831563147
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GRAHAM REYNOLDSCredential: PHD
Location Address136 E 57TH ST STE 1101New York, NY 10022-2962
Mailing Address136 East 57th Street, Suite 1101New York, NY 10022 · (212) 308-2440
Sole ProprietorNo
Enumeration DateNovember 24, 2015
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
NPI 1831563147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 022026
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
136 E 57TH ST STE 1101, New York, NY 10022

Secondary Practice Location 1

Location 1400 S Oyster Bay Rd Ste 204Hicksville, NY 11801-3500 · Phone (516) 818-8383

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Graham Reynolds Phd 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 June 26, 2017 through June 26, 2027.

Opt-Out Effective DateJune 26, 2017
Opt-Out In Effect ThroughJune 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Psychologist (Clinical)
136 E 57TH ST STE 1101
NEW YORK, NY 10022
Psychologist (Clinical)
136 E 57TH ST STE 1101
NEW YORK, NY 10022
Psychologist (Clinical)
136 E 57TH ST STE 1101
NEW YORK, NY 10022

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 Graham Reynolds's NPI number?

The NPI number for Graham Reynolds is 1831563147. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Graham Reynolds located?

Graham Reynolds practices at 136 E 57th St Ste 1101, New York, NY 10022. The listed phone number is (212) 308-2440.

What is Graham Reynolds's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Graham Reynolds enrolled in Medicare?

No. Graham Reynolds has opted out of Medicare through June 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Graham Reynolds was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.