DR. DAVID JOSEPH REYNOLDS (PH.D.) – Clinical Psychologist, NPI 1528174448

DR. DAVID JOSEPH REYNOLDS (PH.D.) is a healthcare provider. based in Lacey, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY00000590 (WA). The NPI Number for DR. DAVID JOSEPH REYNOLDS (PH.D.) is 1528174448

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JOSEPH REYNOLDS (PH.D.)
NPI
1528174448
Phone
(360) 456-6744
Address
2633 MUGHO ST SE
Enumeration Date
22 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607545354
Graduation Year
1974 (52 years ago)
PAC ID
0941334668
Professional Enrollment ID
I20100817001183
Address ID
WA985011062OL501XXNWXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

779 CLINICAL PSYCHOLOGIST in WA

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Provider Addresses for DR. DAVID JOSEPH REYNOLDS (PH.D.)

  • 2633 MUGHO ST SE

    LACEY, WA 985134224

    Phone: (360) 456-6744

    Fax: (360) 786-1572

    Type: Mailing

  • 501, Columbia Street Northwest, Olympia, Thurston County, Washington, 98501, United States

    SUITE E

    OLYMPIA, WA 985018229

    Phone: (360) 754-5354

    Fax: (360) 786-1572

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100817001183IClinical PsychologistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes32828$0
View full utilization report →

Insurance plans in this area (ZIP 98513)

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Reviews

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Frequently asked questions

Is there an official ID for DR. DAVID JOSEPH REYNOLDS (PH.D.) in U.S. healthcare records?
The official identifier for DR. DAVID JOSEPH REYNOLDS (PH.D.) is NPI 1528174448.
Is there an active status for DR. DAVID JOSEPH REYNOLDS (PH.D.)?
For scheduling context, DR. DAVID JOSEPH REYNOLDS (PH.D.) is shown as active in the registry.
What area of care is associated with DR. DAVID JOSEPH REYNOLDS (PH.D.)?
DR. DAVID JOSEPH REYNOLDS (PH.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID JOSEPH REYNOLDS (PH.D.)?
Directory geography for DR. DAVID JOSEPH REYNOLDS (PH.D.) centers on Lacey, Washington.
Does DR. DAVID JOSEPH REYNOLDS (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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