Dolores Ann Reilly, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00385000 Issued in NJ

Practice address

200 Atlantic Ave
Suite K
Manasquan, NJ 08736-1352

Phone

(732) 292-0388

Fax

(732) 292-0399

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shore Psychology Associates, LLC

  • Psychologist
  • Manasquan, NJ
  • NPI 1306914338
  Medicare reassignment NPD Authorized official
• Adults & Children Behavioral Counseling Center LLC

  • Mental Health Counselor
  • Brick, NJ
  • NPI 1700026382
  NPD (past)
• Challenges Psychological Services, P.a.

  • Nursing Facility/Intermediate Care Facility
  • Howell, NJ
  • NPI 1114968427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003938812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE",
            "address_2": "SUITE K",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361352",
            "telephone_number": "732-292-0388",
            "fax_number": "732-292-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE",
            "address_2": "SUITE K",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361352",
            "telephone_number": "732-292-0388",
            "fax_number": "732-292-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "DOLORES",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00385000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2559636",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Andrew Quinn, DPT
• Martin Henry Rabinovich, DMD
• Rachael Shuster, MSW, LCSW LLC
• Paul Thomas Rayward, DPM
• Kelsey Reardon, OTR/L
• Nicholas Reilly, MS, LAC, NCC
• Return2Sport
• April Rhatigan
• Denise Ricciardi, PSYD
• Harvey B Richman, OD

• Psychologist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.