DR. PATRICK MICHAEL REILLY (NPI# 1386756286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386756286 |
| Entity Type | Individual |
| Full Name | DR. PATRICK MICHAEL REILLY |
| Credential | PH.D. |
| Practice Address |
3315 Chanate Road Santa Rosa CA 95404 |
| Practice Telephone | 7075703862 |
| Mailing Telephone | 7075703862 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY13520 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569286 | Patrick P Reilly | Physical Therapy Assistant | 51 Fanning Ave, Hampton Bays, NY 11946 | 2019-07-08 |
| 1629559927 | Patrick Moran Reilly | Social Worker | 31900 Utica Rd, Fraser, MI 48026-2556 | 2018-08-24 |
| 1053861468 | Patrick O'neill Reilly | Counselor | 19115 W Capitol Dr Ste 117, Brookfield, WI 53045-2754 | 2016-10-10 |
| 1427249895 | Patrick Beau Reilly | Psychologist | 1871 Nw Gilman Blvd, Issaquah, WA 98027-8116 | 2007-08-09 |
| 1710416318 | Patrick Andrew Reilly | Dentist | 2847 Henderson Mill Rd, Atlanta, GA 30341-5772 | 2017-06-07 |
| 1346651692 | Patrick David Reilly | Family Medicine | 7631 Cheviot Rd, Cincinnati, OH 45247-4012 | 2014-05-08 |
| 1407156680 | Patrick James Reilly | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5546 | 2010-10-22 |
| 1821326588 | Patrick Reilly | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2009-11-18 |
| 1568559938 | Patrick Francis Reilly | Internal Medicine | 4531 N Davis Hwy, Pensacola, FL 32503-2770 | 2006-10-06 |
| 1457388365 | Patrick M Reilly | Surgery | 51 N 39th St, Philadelphia, PA 19104-2640 | 2006-06-27 |
| Street Address |
3315 CHANATE ROAD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194887299 | John W. Kolhoven | Psychologist | 5755 Mountain Hawk Dr, Suite 205 A, Santa Rosa, CA 95409-4450 | 2006-12-14 |
| 1689297558 | Brooke Kaufman | Psychologist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2020-05-26 |
| 1336452853 | Cheryl L Nygard | Psychologist | 534 B Street, Santa Rosa, CA 95401 | 2010-07-26 |
| 1912013459 | Robert S Barrows Sr. | Psychologist | 659 Cherry St, Santa Rosa, CA 95404 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376368 | Jamie L Krause | Psychologist | 2134 N Lincoln St Apt 1/2, Burbank, CA 91504-3349 | 2020-11-07 |
| 1861090441 | Illuminating Psychological Services Corporation | Psychologist | 4181 Flat Rock Dr Ste 311, Riverside, CA 92505-7106 | 2020-10-15 |
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1932711413 | Tonja M Jackson | Psychologist | 23213 Lynn St, Hayward, CA 94541-7426 | 2020-08-17 |
| 1720606593 | Brejaynae S Joiner | Psychologist | 2310 Mcginley Ave, Antioch, CA 94509-3819 | 2020-07-08 |
| 1407474596 | Devjani Banerjee-stevens | Psychologist | 15 Williamsburg Ln Ste A, Chico, CA 95926-5520 | 2020-07-06 |
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on DR. PATRICK MICHAEL REILLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.