Active NPI
Sally Ann Reyering, M.D.
- Psychiatry Physician
- Jamaica Plain, MA
National Provider Identifier
1790800514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 60561
- Practice address
- 170 Morton St
Michael J. Gill Mental Health and Wellness Clinic
Jamaica Plain, MA 02130 - Phone
- (617) 619-5908
- Fax
- (617) 971-3853
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 60561 | MA | Primary |
Addresses
Primary practice location
170 Morton St
Michael J. Gill Mental Health and Wellness Clinic
Jamaica Plain, MA 02130
Mailing address
66 Canal St
Bay Cove Human Services
Boston, MA 02114
Phone (617) 788-1743
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1790800514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CANAL ST",
"address_2": "BAY COVE HUMAN SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-788-1743",
"fax_number": "617-371-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MORTON ST",
"address_2": "MICHAEL J. GILL MENTAL HEALTH AND WELLNESS CLINIC",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130",
"telephone_number": "617-619-5908",
"fax_number": "617-971-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYERING",
"first_name": "SALLY",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "60561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.