Sheila Rita Rebello-Eian, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013901 Issued in NY

Practice address

49 Oakcrest Avenue
Oak Hollow Nursing Center
Middle Island, NY 11953

Phone

(631) 504-6363

NPI assigned

Oct 4, 2006

Last updated

Dec 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1255426045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EVERGREEN AVENUE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "11953",
            "telephone_number": "631-504-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAKCREST AVENUE",
            "address_2": "OAK HOLLOW NURSING CENTER",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "11953",
            "telephone_number": "631-504-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBELLO-EIAN",
        "first_name": "SHEILA",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013901",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01983384",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "132500",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "166561P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella-Rose Alinea Quaranta, DPT
• Stacey Anne Quintanilla, M.A.
• Jennifer Raab
• Stephanie N. Rae, B.A.
• Sabrina Marie Rattin
• Melissa Eileen Recupero
• Kimberly Reinstein, PSY.D.
• Alyssa M Reiter
• Lauren Reiter, MD
• Elizabeth B Reynolds, LCSW

• Psychologist in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.