Judith A Reilly, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401256 Issued in NY

Practice address

9 Brooke Club Dr
Unit 2
Ossining, NY 10562-7806

Phone

(914) 432-7592

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1134445877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROOKE CLUB DR",
            "address_2": "UNIT 2",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105627806",
            "telephone_number": "516-698-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROOKE CLUB DR",
            "address_2": "UNIT 2",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105627806",
            "telephone_number": "914-432-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Soltren, MD, PC
• Gustavo Ramirez-Robilliard
• Raymond Opticians of Ossining,Inc.
• Rehab Resources Unlimited Hand Occupational and Physical Therapy,PLLC
• Kristen Anne Reich, MS CCC-SLP
• Kathy Winston Reno, LCSW-R
• Frank J Riccardi, R.PH
• Barbara Richards, RN
• Richmond Childrens Center Inc
• Kathy Rie

• Psychiatric/Mental Health Nurse Practitioner in Ossining, NY
• Providers in Ossining, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.