Melissa Reilly

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60953182 Issued in WA

Practice address

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800

Phone

(509) 662-6000

NPI assigned

Mar 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa Fugazzi Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Valley Community HealthGroup PAC ID 7113813874, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.reilly.1@10575.direct.athenahealth.com
• Direct secure messaging: mreilly49406@edirect.chehr.org

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.

• Columbia Valley Community Health

  • Federally Qualified Health Center (FQHC)
  • Wenatchee, WA
  • NPI 1487650636
  Medicare reassignment Care Compare group NPD
• Columbia Valley Community Health

  • Federally Qualified Health Center (FQHC)
  • East Wenatchee, WA
  • NPI 1174417919
  NPD

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1871025528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60953182",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60953182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mreilly49406@edirect.chehr.org",
            "affiliation": "N",
            "address_1": "630 N Chelan Ave Ste B7",
            "city": "Wenatchee",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988016622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FUGAZZI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John T Register, MD
• Deborah Sue Rehberg, A.R.N.P. (C) FNP
• Kathleen Margaret Reich, DO
• Christa M Reid, LPN
• Whitney Reid, D.O.
• Suzanne Marie Reilly, PHD, MA, BA
• Micah L Reister, PHARMD
• Christiane Rekai, ARNP
• Jennifer Larie Renard, OD
• Renee L Woods, MD PC

• Clinical Psychologist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.