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KEVIN J. REILLY PSY.D.P.C. NPI 1316238611


NPI Information

NPI: 1316238611
Provider Name: KEVIN J. REILLY, PSY.D.,P.C.

Doing Business As: NEUROBEHAVIORAL & REHABILITATION PSYCHOLOGY SERVICES

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
601 E HAMPDEN AVE STE 420
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 523-3023
Get Directions

KEVIN J. REILLY, PSY.D.,P.C. is a clinical neuropsychologist in Englewood, CO. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. KEVIN J. REILLY, PSY.D.,P.C. NPI is 1316238611. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurobehavioral & Rehabilitation Psychology Services.

The provider's business location address is:

601 E HAMPDEN AVE STE 420
ENGLEWOOD, CO
ZIP 80113-770
Phone: (303) 523-3023
Fax: (303) 523-3023

The provider's authorized official is Kevin J Reilly .
The authorized official title is Owner/sole Proprietor and has the following contact phone number (303) 523-3023.

The enumeration date for this NPI number is 4/21/2011 and was last updated on 10/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist1407COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R19778MEDICARE UPINCOLORADO
207014079MEDICAIDCOLORADO
3C62306MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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