Nicole Reynolds Psyd Llc - Medicare Mental Health Clinic in Plymouth, MI

Nicole Reynolds Psyd Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Plymouth, Michigan. The current practice location for Nicole Reynolds Psyd Llc is 158 N Main St, Plymouth, Michigan. For appointments, you can reach them via phone at (248) 736-5067. The mailing address for Nicole Reynolds Psyd Llc is 20789 Sunnydale St, Farmington Hills, Michigan and phone number is (248) 736-5067.

Nicole Reynolds Psyd Llc is licensed to practice in Michigan (license number 6301016052). The clinic also participates in the medicare program and its NPI number is 1316306418. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (248) 736-5067.

Contact Information

Nicole Reynolds Psyd Llc
158 N Main St
Plymouth
MI 48170-1236
(248) 736-5067
Not Available

Mental Health Clinic Profile

Full NameNicole Reynolds Psyd Llc
SpecialityClinic/Center
Location158 N Main St, Plymouth, Michigan
Authorized Official Name and PositionNicole R Reynolds (OWNER/OPERATOR)
Authorized Official Contact2487365067
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Reynolds Psyd Llc
20789 Sunnydale St
Farmington Hills
MI 48336-5254

Ph: (248) 736-5067
Nicole Reynolds Psyd Llc
158 N Main St
Plymouth
MI 48170-1236

Ph: (248) 736-5067

NPI Details:

NPI Number1316306418
Provider Enumeration Date02/17/2016
Last Update Date02/17/2016

Medicare PECOS Information:

Medicare PECOS PAC ID4981902145
Medicare Enrollment IDO20160421000734

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Medical Identifiers

Medical identifiers for Nicole Reynolds Psyd Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316306418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 6301016052 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Nicole Reynolds Psyd Llc acts as a billing entity for following providers:
Provider NameNicole Rena Reynolds
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1285967422
PECOS PAC ID: 5890093058
Enrollment ID: I20170109002361

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Clinic/Center in Plymouth, MI

Steven J Ceresnie Phd Pc
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Medicare: Not Enrolled in Medicare
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Phone: 734-453-9290    Fax: 734-453-9293
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Practice Location: 600 N Evergreen St, Plymouth, MI 48170
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Access Behavioral Associates Llc
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Mangin Psychological Services, Llc
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