Individual provider Active NPI

Ilana Reife, PHD

  • Clinical Neuropsychologist
  • Andover, MA
National Provider Identifier
1417415563
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
26 Chestnut St Ste 2E
Andover, MA 01810-3600
Phone
(215) 527-9356
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

26 Chestnut St Ste 2E
Andover, MA 01810-3600

Mailing address

87 New St Unit 304
Cambridge, MA 02138-1287
Phone (215) 527-9356

Other practice location 1

911 N Elm St Ste 115
Hinsdale, IL 60521-3640
Phone (630) 861-6655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ilana.reife.2@380.direct.athenahealth.com

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)
Enrolled
Credentials
Doctor of Philosophy

Interoperability endpoints

  • Direct secure messaging: ilana.reife.2@380.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1417415563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 NEW ST UNIT 304",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381287",
            "telephone_number": "215-527-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHESTNUT ST STE 2E",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103600",
            "telephone_number": "215-527-9356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 N Elm St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213640",
            "country_code": "US",
            "telephone_number": "630-861-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIFE",
        "first_name": "ILANA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilana.reife.2@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "911 N Elm St Ste 115",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.