Sandra Marie Deraney Reilly, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2007 Issued in CO

Practice address

222 W Magnolia St
Fort Collins, CO 80521-2812

Phone

(970) 498-0560

Fax

(970) 224-2126

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra M Deraney-Reilly Other name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Sandra Marie Deraney-Reilly

  • Psychologist
  • Fort Collins, CO
  • NPI 1174091581
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1598815722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W MAGNOLIA ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212812",
            "telephone_number": "970-498-0560",
            "fax_number": "970-224-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MAGNOLIA ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212812",
            "telephone_number": "970-498-0560",
            "fax_number": "970-224-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERANEY REILLY",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DERANEY-REILLY",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Craig D Depperschmidt, PT, DPT
• Depression & Bipolar Clinic of Colorado, PLLC.
• Kirk Lee Depriest, DO
• Kellie Dequasie, RN
• Jennifer E. Deraad, APRN
• Michael A. Deringer, M.D.
• Peggy Ann Derloshon, DDS
• Dermatology & Laser Center of Fort Collins LLC
• Dermatology of Northern Colorado P.C.
• Claire Derr

• Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.