Active NPI
Ilana Reich, PH.D.
- Psychologist
- Staten Island, NY
National Provider Identifier
1407934953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 06077
- Practice address
- 1324 Victory Boulevard
Suite a
Staten Island, NY 10301 - Phone
- (718) 448-5559
- Fax
- (718) 815-1563
- NPI assigned
- Nov 1, 2006
- 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 | 06077 | NY | Primary |
Addresses
Primary practice location
1324 Victory Boulevard
Suite a
Staten Island, NY 10301
Mailing address
1324 Victory Boulevard
Suite a
Staten Island, NY 10301
Phone (718) 448-5559
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008600 | Other | NY | GHI |
| 146696 | Other | NY | VALUE OPTIONS |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06077 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407934953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 VICTORY BOULEVARD",
"address_2": "SUITE A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-448-5559",
"fax_number": "718-815-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 VICTORY BOULEVARD",
"address_2": "SUITE A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-448-5559",
"fax_number": "718-815-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "ILANA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "06077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0008600",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "146696",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Jenifer Lynn Reha-Cahill, NP
- Irene H. Reha, RPH
- Rehabilitation Housecall PT & OT PLLC
- Rehabilitation Physical Therapy Associates of Staten Island, P.C.
- Kimberly Jane Rehak, M.S. ED.
- China Lily Mae Reichert, RDN
- Abigail Reid, CASACT
- Jennifer Johanna Reidinger
- Samantha Reiff
- Barbara Reilly, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.