Reilly, Richard A

Reilly, Richard A is an individual health care provider with primary practice located at 227 Concord Ave , Cambridge MA 02138. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Reilly, Richard A can be contacted via phone (617) 864-1966.

Contact Information

Primary practice address
227 Concord Ave Cambridge MA 02138
Phone: (617) 864-1966
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4167 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4167 Massachusetts
Behavioral Health & Social Service Providers / Counseling 103TC1900X 4167 Massachusetts

Profile Details

NPI number 1124185624
LBN Legal business name Reilly, Richard A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 31st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124185624 NPPES
Massachusetts Other W04110 BCBS
Massachusetts MEDICAID 0524182 BCBS

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