Individual provider Active NPI

Nadine Oreilly, PSYD

  • Psychologist
  • Englewood, NJ
National Provider Identifier
1699236265
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00607900 Issued in NJ
Practice address
163 Engle Street
Building 2, Second Floor
Englewood, NJ 07631
Phone
(551) 209-2069
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00607900 NJ Primary

Addresses

Primary practice location

163 Engle Street
Building 2, Second Floor
Englewood, NJ 07631

Mailing address

21 Ridge Rd
Harrington Park, NJ 07640-1215
Phone (201) 280-7230

Other practice location 1

239 Old Tappan Rd
Old Tappan, NJ 07675-7006
Phone (201) 326-7261

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

State licenses

LicenseStateTypeSpecialty
35SI00607900NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nadine Oreilly, PSYD, LLC Psychologist Current Accepting new patients

Locations

163 Engle St
Ste 2
Englewood, NJ 07631
Phone (201) 568-2532

239 Old Tappan Rd
Old Tappan, NJ 07675
Phone (201) 326-7261

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1699236265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RIDGE RD",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401215",
            "telephone_number": "201-280-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE STREET",
            "address_2": "BUILDING 2, SECOND FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "551-209-2069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Old Tappan Rd",
            "address_purpose": "LOCATION",
            "city": "Old Tappan",
            "state": "NJ",
            "postal_code": "076757006",
            "country_code": "US",
            "telephone_number": "201-326-7261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OREILLY",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00607900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.