Active NPI
Liam Reilly, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1912564824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023404
- Practice address
- 515 Madison Ave
FL 21
New York, NY 10022-5433 - Phone
- (718) 519-3030
- NPI assigned
- May 27, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023404 | NY | Primary |
Addresses
Primary practice location
515 Madison Ave
FL 21
New York, NY 10022-5433
Mailing address
6 W 90TH St
Apt 7
New York, NY 10024-1555
Phone (510) 387-6267
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lreilly@rhps.nyc |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023404 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liam Reilly Psychology, PLLC | Clinical | Current | Accepting new patients |
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1982544524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1912564824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 W 90TH ST",
"address_2": "APT 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241555",
"telephone_number": "510-387-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MADISON AVE",
"address_2": "FL 21",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225433",
"telephone_number": "718-519-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "LIAM",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-27",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023404",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lreilly@rhps.nyc",
"affiliation": "Y",
"address_1": "330 W 58th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100191827",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.