AMANDA JANE REILLY APRN NPI 1417231895

NPI Information

  • NPI: 1417231895
  • Provider Name: AMANDA JANE REILLY, APRN
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 57 SACHEMUS TRL
    BREWSTER, MA
    ZIP 02631
  • Phone: (413) 210-5352

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NPI Details

Amanda Jane Reilly, APRN is a psychiatric/mental health and adult registered nurse in Brewster, MA. Amanda Jane Reilly, APRN NPI is 1417231895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

57 SACHEMUS TRL
BREWSTER, MA
ZIP 02631-080
Phone: (413) 210-5352

The NPI 1417231895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 4/13/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentRN2265481MASSACHUSETTSNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN #004703CONNECTICUTNo
3163WP0809XRegistered NursePsychiatric/Mental Health, AdultRN2265481MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417231895MEDICAIDCONNECTICUT

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: 11/21/2025

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