Brenda K. O'Reilly, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1767 Issued in CO

Practice address

2629 Redwing Rd
Suite 316
Fort Collins, CO 80526-6315

Phone

(970) 613-4172

Fax

(970) 223-1325

NPI assigned

Aug 27, 2007

Last updated

Oct 8, 2007By the provider in NPPES

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 CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brenda K Oreilly PHD Professional LLC

  • Clinical Psychologist
  • Fort Collins, CO
  • NPI 1851442545
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1225222854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 REDWING RD",
            "address_2": "SUITE 316",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266315",
            "telephone_number": "970-613-4172",
            "fax_number": "970-223-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 REDWING RD",
            "address_2": "SUITE 316",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266315",
            "telephone_number": "970-613-4172",
            "fax_number": "970-223-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "BRENDA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47036362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda O'Neal, RN
• Wilma Charlene O'Neil, PHARM D, R.P.
• Ellen O'Neill, RDN
• Kelly O'Neill, LPCC
• Stephen O'Neill, MD
• Kevin J O'Toole, DO, MPH
• Jennifer Rachel Oakes
• Oasis for Change, LLC
• OB-GYN Affiliates (My ObGyn)
• Amelia Oberg, DPT

• Clinical Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.