Active NPI
Michael Falcon Reilly, PSY.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1750788980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-1658
- Practice address
- 932 Ward Ave Ste 490
Honolulu, HI 96814-2193 - Phone
- (804) 647-2632
- NPI assigned
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PSY-1658 | HI | Primary |
Addresses
Primary practice location
932 Ward Ave Ste 490
Honolulu, HI 96814-2193
Mailing address
932 Ward Ave Ste 490
Honolulu, HI 96814-2193
Phone (804) 647-2632
Other practice location 1
2131 Date St Apt A
Honolulu, HI 96826-4004
Phone (804) 647-2632
Other practice location 2
932 Ward Ave Ste 490
Honolulu, HI 96814-2193
Phone (804) 647-2632
Other names 1
- Mr. Michael Kornylak
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-1658 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750788980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 WARD AVE STE 490",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142193",
"telephone_number": "804-647-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 WARD AVE STE 490",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142193",
"telephone_number": "804-647-2632"
}
],
"practiceLocations": [
{
"address_1": "2131 Date St Apt A",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968264004",
"country_code": "US",
"telephone_number": "804-647-2632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "932 Ward Ave Ste 490",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968142193",
"country_code": "US",
"telephone_number": "804-647-2632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLY",
"first_name": "MICHAEL",
"middle_name": "FALCON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-1658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "KORNYLAK",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.