Dr. Charles J Reilly, EDD
Psychologist, Clinical in Waban, Massachusetts
1356301295- Practice location
- 158 Upland RD, Waban, MA 02468-2005
- Phone
- 617-527-5561
- Fax
- —
- Last updated
- May 22, 2014
Charles J Reilly is a Psychologist, Clinical based in Waban, MA. Charles J Reilly practices in Waban, MA and has the professional credentials of EDD. The NPI Number for Charles J Reilly is 1356301295 and holds a License No. 3037 (MA). The current practice location address for Charles J Reilly is 158 Upland RD, Waban, MA 02468-2005 and can be reached out via phone at 617-527-5561.
Provider Profile Details
- NPI Number
- 1356301295
- Provider Name
- Charles J Reilly
- Credential
- EDD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 158 Upland RD, Waban, MA 02468-2005
- Phone Number
- 617-527-5561
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 24, 2006
- Last Update Date
- May 22, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 158 Upland RD
Waban, MA 02468-2005 - City
- Waban
- State
- Massachusetts
- Zip
- 02468-2005
- Phone Number
- 617-527-5561
Provider Business Mailing Address Details
- Address
- 158 Upland RD
Waban, MA 02468-2005 - City
- Waban
- State
- MA
- Zip
- 02468-2005
- Phone Number
- 617-527-5561
License Information
- License Number (1)
- 3037
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- Taxonomy (2)
- Psychologist, Forensic · 103TF0200X
- Taxonomy (3)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Charles J Reilly, EDD?
The NPI number of Dr. Charles J Reilly, EDD is 1356301295. It was assigned on March 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles J Reilly, EDD?
Dr. Charles J Reilly, EDD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3037.
Where does Dr. Charles J Reilly, EDD practice?
The practice location is 158 Upland RD, Waban, MA 02468-2005. The office can be reached at 617-527-5561 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356301295 directly on the NPPES registry website.