Reginald B. Riley, PH.D.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW003688 Issued in GA

Practice address

8000 Miller CT E
Norcross, GA 30071-1456

Phone

(770) 734-8091

Fax

(770) 734-8094

NPI assigned

Mar 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Breakthrough Addiction Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norcross, GA
  • NPI 1043437742
  NPD (past)
• R. Neil Johnston, MD, LLC

  • Psychiatry Physician
  • Decatur, GA
  • NPI 1942450531
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1013189257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MILLER CT E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711456",
            "telephone_number": "770-734-8091",
            "fax_number": "770-734-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MILLER CT E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711456",
            "telephone_number": "770-734-8091",
            "fax_number": "770-734-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "REGINALD",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "MSW003688",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "MSW003688",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW003688",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "MSW00368",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW003688",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW003688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L. Gregg, D.C., P.C.
• Mariana Riera
• Rika Medical Clinic
• Rika Medical Clinic, LLC
• Rika Medical Clinic, LLC.
• Hannah Rinehart, LPC
• Martha Rios
• Kirstin Twite Risse, DMD
• Marcos Rivera
• Road to Recovery Neuropsychology

• Social Worker in Norcross, GA
• Providers in Norcross, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.