Kevin J Reilly, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1407 Issued in CO

Practice address

601 East Hampden Avenue
Suite 420
Englewood, CO 80113

Phone

(303) 523-3023

Fax

(303) 523-3023

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kevin J. Reilly, Psy.D.,P.C.

  • Clinical Neuropsychologist
  • Englewood, CO
  • NPI 1316238611
  NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528087244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EAST HAMPDEN AVENUE",
            "address_2": "SUITE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-523-3023",
            "fax_number": "720-212-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EAST HAMPDEN AVENUE",
            "address_2": "SUITE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-523-3023",
            "fax_number": "303-523-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 E Hampden Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133876",
            "country_code": "US",
            "telephone_number": "303-523-3023",
            "fax_number": "720-212-0344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "1407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07014079",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of Colorado
• Dominique Rehl, DO
• Camille Lynn Reich, M.S.
• Cherie R Reichart, M.D.
• Jessica Reid, LPC
• Keith Reinert
• John A Reister, M.D.
• Amee Lee Replogle, PHARMD
• Resilience Surgical LLC
• Brenda Inmaculada Restivo

• Clinical Neuropsychologist in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Neuropsychologist in Colorado

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.