Healthcare Provider Details

I. General information

NPI: 1700965126
Provider Name (Legal Business Name): SHEILA M. REINDL ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2006
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CONCORD AVE APT B
CAMBRIDGE MA
02138-2351
US

IV. Provider business mailing address

5 CURRIER RD
MANCHESTER MA
01944-1102
US

V. Phone/Fax

Practice location:
  • Phone: 617-492-1561
  • Fax: 978-526-0185
Mailing address:
  • Phone: 617-492-1561
  • Fax: 978-526-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7116
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7116
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number7116
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7116
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: