MR. ROBERT E. REILLY (NPI# 1437282662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437282662 |
| Entity Type | Individual |
| Full Name | MR. ROBERT E. REILLY |
| Credential | PT |
| Practice Address |
1911 Williams Dr 110 Oxnard CA 93036-2612 |
| Mailing Address |
8653 Nye Rd Ventura CA 93001-1012 |
| Practice Telephone | 8059814223 |
| Practice Fax Number | 8059813351 |
| Mailing Telephone | 8056499250 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT18548 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487002192 | Robert William Reilly | Student in an Organized Health Care Education/Training Program | 344 Prospect Street, East Orange, NJ 07017 | 2016-06-03 |
| 1669589602 | Robert Kevin Reilly | Dentist | 401 Second Street, Manawa, WI 54949 | 2006-08-24 |
| 1336116334 | Robert N Reilly | Family Medicine | 3620 N Everbrook Ln, Suite C, Muncie, IN 47304-5200 | 2006-03-08 |
| 1053781484 | Robert Reilly | Counselor | 90 W Main St, Freehold, NJ 07728-2144 | 2015-09-28 |
| 1780910695 | Robert Mathew Reilly | Registered Nurse | 5 Alexander Dr, East Islip, NY 11730-3701 | 2009-10-27 |
| 1124178819 | Robert E Reilly | Internal Medicine | 1203 Langhorne Newtown Rd, Suite 135, Langhorne, PA 19047-1209 | 2007-01-12 |
| 1821180498 | Robert Douglas Reilly | Nurse Anesthetist, Certified Registered | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-09-29 |
| 1730103037 | Robert Franklin Reilly Jr. | Internal Medicine | 4500 S Lancaster Rd, 111g1, Dallas, TX 75216-7167 | 2006-07-27 |
| 1629092580 | Robert James Reilly | Physician Assistant | 2707 L St, Suite 1, Ord, NE 68862-1275 | 2006-07-26 |
| 1992725089 | Robert C Reilly | Internal Medicine | 280 Farner Place, The Villages, FL 32163 | 2006-07-20 |
| Street Address |
1911 WILLIAMS DR 110 |
| City | OXNARD |
| State | CA |
| Zip Code | 93036-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639108319 | Carolyn Libao Kaneko | Social Worker | 1911 Williams Dr, Suite 110, Oxnard, CA 93036-2612 | 2006-07-03 |
| 1548869613 | Jose Olarte | Case Manager/Care Coordinator | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2020-10-20 |
| 1457979700 | Erika Solis | Community/Behavioral Health | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2020-07-13 |
| 1508483009 | Abraham Llamas | Counselor | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2020-06-30 |
| 1376189936 | Daniel Gray | Counselor | 1911 Williams Dr, Suite 126, Oxnard, CA 93036 | 2019-11-19 |
| 1972149664 | Claudia Matus | Community/Behavioral Health | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2019-11-18 |
| 1184286486 | Brittany Michele Cox | Student in an Organized Health Care Education/Training Program | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2019-07-08 |
| 1770145534 | Eleonora Volf | Pharmacist | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2019-07-02 |
| 1578123576 | Edward Martin Fine IIi | Counselor | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2019-06-20 |
| 1821551227 | Gloria Stephanie Estrada | Marriage & Family Therapist | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2019-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1760021810 | Tiffany Anne Eyestonhe | Counselor | 1911 Wiiliams Drive, Star Program, Oxnard, CA 93036 | 2020-01-06 |
| 1356903579 | Usman Khan | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive Suite 200, Oxnard, CA 93036 | 2019-07-08 |
| 1689236937 | Benjamin Jonathan Ponce | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive, Suite 200, Oxnard, CA 93036 | 2019-07-07 |
| 1194296806 | Ezequiel Armando Sanchez | Counselor | 1911 Williams Drive Star Program, Oxnard, CA 93036 | 2018-12-07 |
| 1710457809 | Shadi Heydari Bateni | Counselor | 2150 N. Victoria Avenue, Oxnard, CA 93036 | 2018-11-30 |
| 1023586443 | Reylene Carmen Sanchez | Counselor | 2755 Yearling Place, Oxnard, CA 93036 | 2018-11-02 |
| 1689157117 | For Eyes Optical Co. of California | Eyewear Supplier (Equipment, not the service) | 2820 Portico Way, Suite 1110, Oxnard, CA 93036 | 2018-09-11 |
| 1518445113 | Heather Christian Byhoffer | Marriage & Family Therapist | 1261 W. Gonzales Rd., Oxnard, CA 93036 | 2018-08-06 |
| 1477045110 | Dr. Jeffrey A. Saladin, Dental Corp | Dentist | 2100 Solar Drive, Suite 200, Oxnard, CA 93036 | 2018-05-30 |
| Find all providers in zip 93036 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437682598 | Alicia Cayaban | Licensed Psychiatric Technician | 1731 Alturas St, Oxnard, CA 93035-3408 | 2017-04-06 |
| 1811355050 | Virginia Cervantes | Licensed Psychiatric Technician | 1301 Commercial Ave Unit 101, Oxnard, CA 93030-7538 | 2016-02-02 |
| 1710124078 | Traci Terry | Licensed Psychiatric Technician | 2216 Miramar Walk, Oxnard, CA 93035-2628 | 2009-01-08 |
| 1588728935 | Yvonne Miranda I | Licensed Psychiatric Technician | 2320 S M St, Oxnard, CA 93033-4316 | 2006-12-20 |
| 1649334095 | Charles Keaton Navarro | Licensed Psychiatric Technician | 1009 Calle Vista Calma, Oxnard, CA 93030-8044 | 2006-12-20 |
| 1659666162 | Christy Olsen | Licensed Psychiatric Technician | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2011-06-13 |
| 1679771307 | Judy Marlene Joseph | Licensed Psychiatric Technician | 4333 E Vineyard Ave, Oxnard, CA 93036-1013 | 2007-07-03 |
| 1053521278 | Heather Johnson | Licensed Psychiatric Technician | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2007-05-23 |
| 1104945591 | Carol Louise Alesso | Licensed Psychiatric Technician | 1911 Williams Dr Ste 110, Oxnard, CA 93036-2665 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.