Dr. Paul D. Reilly

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101041722 Issued in VA

Legal business name

DR. PAUL D. REILLY

Practice address

1115 Old Colony LN
Williamsburg, VA 23185-3801

Phone

(757) 253-0691

Fax

(757) 220-9571

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul D. Reilly, M.D.NPI 1184720120

Title

Physician

Phone

(757) 253-0691

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Reilly, M.D.

  • Psychiatry Physician
  • Williamsburg, VA
  • NPI 1184720120
  NPD (past) Authorized official

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710180542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 OLD COLONY LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853801",
            "telephone_number": "757-253-0691",
            "fax_number": "757-220-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 OLD COLONY LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853801",
            "telephone_number": "757-253-0691",
            "fax_number": "757-220-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL D. REILLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-253-0691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101041722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.