Dr. Dawn Reilly, L.L.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6099 Issued in FL

Legal business name

DR. DAWN REILLY, L.L.C.

Practice address

817 S University Dr
Suite 121
Plantation, FL 33324-3309

Phone

(954) 993-3838

Fax

(954) 343-1147

NPI assigned

Jan 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Reilly, PSY.D.NPI 1447319280

Title

Owner

Phone

(954) 993-3838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn M Reilly, PSYD

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1447319280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1306184395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 121",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-993-3838",
            "fax_number": "954-343-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 121",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-993-3838",
            "fax_number": "954-343-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAWN REILLY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-993-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Steve T. Bussa O.D., P.L.L.C.
• Dr William Porter PA
• Dr Z Podiatry LLC
• Dr. Alice Family Dentistry
• Dr. Anhalt and Associates, P.a.
• Dr. Frank D. Lipson, D.D.S. P.a.
• Dr. Helen R. Ackerman, P.a.
• Dr. Laura M Kubat, Inc.
• Dr. Lea Harracksingh
• Dr. Lee Trachtenberg D.C., P.a.

• Clinical Psychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.