Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAC PATRIK REYNOLDS, BS. PSYCHOLOGY
Active Sole ProprietorBehavioral Health, Residential · CHEYENNE, WY
Registration Details
- NPI Number
- 1013524628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2020 (5.5745792726242 yrs)
- Last Updated
- Oct 13, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 W PROSSER RD LOT HCHEYENNE, WY, 820073054Browse WY providers · Browse ZIP 82007
- Phone
- 3072746567
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Adult Companion
- Additional Specialty
- Day Training/Habilitation
- Additional Specialty
- Behavioral Health, Residential
Other Behavioral Health, Residential Providers in CHEYENNE, WY
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHERINE FLORES | — | 1447305933 |
| MS. JENNIFER JAMES ROSENTRETER | R.N. | 1982855904 |
| JEANNETTE RUTH NORRID | — | 1801041777 |
| TYLER JAMES ESP | — | 1891940763 |
| CINDY JENSEN | — | 1922253434 |
| MS. MEGAN KEARNEY | RN | 1902040421 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.