Active NPI
Audrie Marie Reilly, PSYD
- Psychologist
- Las Vegas, NV
National Provider Identifier
1225828049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PA163
- Practice address
- 3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750 - Phone
- (702) 202-0000
- NPI assigned
- May 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PA163 | NV | Primary |
Addresses
Primary practice location
3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750
Mailing address
9233 E Neville Ave Unit 1086
Mesa, AZ 85209-1509
Phone (480) 930-6728
Other names 1
- Audrie Marie Wilbanks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA163 | NV | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1225828049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 E NEVILLE AVE UNIT 1086",
"city": "MESA",
"state": "AZ",
"postal_code": "852091509",
"telephone_number": "480-930-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3067 E WARM SPRINGS RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203750",
"telephone_number": "702-202-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "AUDRIE",
"middle_name": "MARIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PA163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDRIE",
"last_name": "WILBANKS",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.