Michael J Reiss Psyd LLC
NPI 1205304805ActiveOrganization· Psychologist, Clinical· Glastonbury, CT
Psychologist, Clinical in Glastonbury, Connecticut, registered in NPPES in November 2018. The authorized official on file is Michael J. Reiss, PSYD, Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205304805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2018 |
| Last updated in NPPES | Jul 23, 2020 |
| Certified by provider | Jul 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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