DIEDRE ANN MARIE REYNOLDS MD NPI 1902887409

NPI Information

  • NPI: 1902887409
  • Provider Name: DIEDRE ANN MARIE REYNOLDS, MD
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • Address: 100 E LEHIGH AVE
    PHILADELPHIA, PA
    ZIP 19125
  • Phone: (215) 707-8496

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NPI Details

Diedre Ann Marie Reynolds, MD is a psychiatry psychiatry neurology in Philadelphia, PA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Diedre Ann Marie Reynolds, MD NPI is 1902887409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 E LEHIGH AVE
PHILADELPHIA, PA
ZIP 19125-012
Phone: (215) 707-8496
Fax: (215) 707-4086

The enumeration date for this NPI number is 11/10/2005 and was last updated on 3/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryMD438693PENNSYLVANIANo
22084P0800XPsychiatry & NeurologyPsychiatry037092CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1260004230MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2001370923MEDICAIDCONNECTICUT
3H13509MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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