Organization Active NPI

Meredith Reilly, LMHC LLC

  • Community/Behavioral Health Agency
  • Yarmouth Port, MA
National Provider Identifier
1417638735
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MEREDITH REILLY, LMHC LLC
Practice address
411 Route 6a # 3
Yarmouth Port, MA 02675-1843
Phone
(774) 722-9372
Fax
(508) 362-0369
NPI assigned
Jul 28, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Meredith Anne Reilly, M.EDNPI 1336385632
Title
Member
Phone
(774) 772-9372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

411 Route 6a # 3
Yarmouth Port, MA 02675-1843

Mailing address

394 Run Hill Rd
Brewster, MA 02631-2377
Phone (774) 280-2381

National Provider Directory

National Provider Directory

Locations

411 Route 6A
#3
Yarmouth Port, MA 02675
Phone (774) 722-9372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1417638735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 RUN HILL RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312377",
            "telephone_number": "774-280-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ROUTE 6A # 3",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751843",
            "telephone_number": "774-722-9372",
            "fax_number": "508-362-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH REILLY, LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "774-772-9372",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.