{"npi":"1407907603","type":"NPI-1","status":"active","name":{"display":"Michael Reynolds MD","other":[],"first":"MICHAEL","last":"REYNOLDS","credential":"MD"},"specialty":{"primary_taxonomy":"2084A0401X","primary_taxonomy_description":"Addiction Medicine (Psychiatry & Neurology) Physician","slug":"addiction-medicine-psychiatry-neurology-physician","schema_org_specialty":null,"all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"MA","license":"204928"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"WV","license":"31684"},{"code":"2084A0401X","description":"Addiction Medicine (Psychiatry & Neurology) Physician","primary":true,"state":"WV","license":"31684"}]},"addresses":[{"purpose":"LOCATION","street_1":"930 CHESTNUT RIDGE RD","city":"MORGANTOWN","state":"WV","postal_code":"265052807","country_code":"US","phone":"3045984214"},{"purpose":"MAILING","street_1":"20 KENWOOD AVENUE","city":"WORCESTER","state":"MA","postal_code":"01605","country_code":"US","phone":"5083049188"}],"license":{"state":"WV","number":"31684"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0106071","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221012001102","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"WV","pac_id":"5395880710"}]},"enumeration_date":"2007-01-15","last_updated":"2023-01-28","_meta":{"source":"NPPES","snapshot_date":"2023-01-28","doc_url":"https://findmynpi.com/api"}}