Active NPI
Ronald L Rielly, EDD
- Psychologist
- Wheeling, WV
National Provider Identifier
1922100684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 769
- Practice address
- 2121 Eoff St
Wheeling, WV 26003-3805 - Phone
- (304) 234-3570
- Fax
- (304) 234-3511
- NPI assigned
- Sep 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1287 | WV | |
| Psychologist | 103T00000X | 769 | WV | Primary |
Addresses
Primary practice location
2121 Eoff St
Wheeling, WV 26003-3805
Mailing address
68443 Maplewood Dr
Saint Clairsville, OH 43950-9117
Phone (740) 695-4994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001719065 | Other | WV | BCBS |
| 9204055000 | Medicaid | WV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1287 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1922100684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68443 MAPLEWOOD DR",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439509117",
"telephone_number": "740-695-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033805",
"telephone_number": "304-234-3570",
"fax_number": "304-234-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIELLY",
"first_name": "RONALD",
"middle_name": "L",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1287",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001719065",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9204055000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.