DR. PATRICK BEAU REILLY (NPI# 1427249895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427249895 |
| Entity Type | Individual |
| Full Name | DR. PATRICK BEAU REILLY |
| Credential | PH.D. |
| Practice Address |
1871 Nw Gilman Blvd Issaquah WA 98027-8116 |
| Practice Telephone | 4256570620 |
| Practice Fax Number | 4256777415 |
| Mailing Telephone | 4256570620 |
| Mailing Fax Number | 4256777415 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2011-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60219659 | WA | 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 |
| 1386756286 | Patrick Michael Reilly | Psychologist | 3315 Chanate Road, Santa Rosa, CA 95404 | 2006-08-31 |
| 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 |
1871 NW GILMAN BLVD |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316329493 | Leah Kuriyama | Behavioral Analyst | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2015-06-24 |
| 1689056772 | Caitlin Clements | Behavioral Analyst | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2015-06-24 |
| 1073942942 | Lauren Jones | Speech-Language Pathologist | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2013-11-01 |
| 1972939106 | Heather Larson | Speech-Language Pathologist | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2013-09-19 |
| 1215378609 | Jaimi Faris | Behavioral Analyst | 1871 Nw Gilman Blvd, Issaquah, WA 98027-8116 | 2013-07-12 |
| 1093065187 | Molly Menzie | Speech-Language Pathologist | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2012-09-15 |
| 1871858530 | Fei Luo | Speech-Language Pathologist | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2012-07-09 |
| 1811261852 | Vina Sargent I | Speech-Language Pathologist | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2012-03-07 |
| 1740554781 | Spencer Andy Shannon Hatton | Speech-Language Pathologist | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2012-03-07 |
| 1427322056 | Amanda L Ferguson-cradler | Occupational Therapist | 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027-8116 | 2012-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1467501734 | John Sutton-gamache | Psychologist | 5837 221st Pl Se, Issaquah, WA 98027-8917 | 2007-01-09 |
| 1770640179 | Vivien Johnette Phillips | Psychologist | 195 Ne Gilman Blvd, Suite 202, Issaquah, WA 98027-2940 | 2007-01-03 |
| 1679658496 | Susan Katalin Toth Patiejunas | Psychologist | 1700 Nw Gilman Blvd, Suite 205, Issaquah, WA 98027-5349 | 2006-10-27 |
| 1912980343 | Susan B Sterling | Psychologist | 310 3rd Ave Ne, #122, Issaquah, WA 98027-3300 | 2005-11-21 |
| 1477535789 | Georganna R Sedlar | Psychologist | 1740 Nw Maple St Ste 210, Issaquah, WA 98027 | 2005-11-14 |
| 1164057345 | Seth Carl Courrege | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2020-03-07 |
| 1942859061 | David N Porter | Psychologist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2019-09-11 |
| 1366913048 | Jessica Stark | Psychologist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2018-12-06 |
| 1194277350 | Valerie Hewell | Psychologist | 1740 Nw Maple St, Ste 210, Issaquah, WA 98027-8127 | 2016-11-03 |
| Find all providers in ISSAQUAH | ||||
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| 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.