DIANE GERTUD REILLY (NPI# 1891159331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891159331 |
| Entity Type | Individual |
| Full Name | DIANE GERTUD REILLY |
| Credential | LPC |
| Practice Address |
136 Pembroke Rd Unit 6 Danbury CT 06811-3075 |
| Mailing Address |
36 Pembroke Rd Unit 6 Danbury CT 06811-2956 |
| Practice Telephone | 2039428981 |
| Mailing Telephone | 2039428981 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2625 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720407000 | Diane Reilly | Dietitian, Registered | 29 Orland Square Dr, Orland Park, IL 60462-3206 | 2014-04-15 |
| 1821363615 | Diane G Reilly | Psychologist | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2012-03-13 |
| 1831340686 | Diane Carol Reilly | Physical Therapy Assistant | 425 Buttonwood St, West Reading, PA 19611-1101 | 2008-10-09 |
| 1528065489 | Diane M. Reilly | Nurse Anesthetist, Certified Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| Street Address |
136 PEMBROKE RD UNIT 6 |
| City | DANBURY |
| State | CT |
| Zip Code | 06811-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629359518 | Prafulla Thippeswami | Dietitian, Registered | 136 Pembroke Rd, #42, Danbury, CT 06811-3075 | 2011-09-06 |
| 1295178960 | Julianne Morin | Social Worker | 136 Pembroke Rd, Unit 80, Danbury, CT 06811-3075 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285361 | Domonique Danza | Massage Therapist | 34 Mill Plain Rd, Danbury, CT 06811 | 2019-09-20 |
| 1538683552 | Walgreen Co | Pharmacy | 113/115 Mill Plain Rd, Danbury, CT 06811 | 2017-08-01 |
| 1366980484 | Heather H Thebodo | Pharmacist | 47-49 Lake Avenue Extention, Danbury, CT 06811 | 2017-02-09 |
| 1851848824 | Ellen Lyall | Dental Hygienist | 6 Field Road, Danbury, CT 06811 | 2016-09-07 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1063757730 | Rabiya Ansari-johnston | Occupational Therapist | 1 Glen Hill Road, Danbury, CT 06811 | 2012-12-06 |
| 1407167851 | Appalachian Chiropractic and Wellness LLC | Chiropractor | 103 Mill Plain Road, Suite 1, Danbury, CT 06811 | 2010-06-30 |
| 1730395294 | David P Rentler | Psychologist | 33 and One Half Pembroke Rd, Danbury, CT 06811 | 2007-05-14 |
| 1770704074 | Loretta Marie Osik | Naturopath | One Maplewood Dr, Danbury, CT 06811 | 2007-05-02 |
| 1932227733 | Lorena Jean Tesbir | Counselor | 2 Glen Hill Road, Danbury, CT 06811 | 2007-03-27 |
| Find all providers in zip 06811 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964948 | Daniel Decastro, Mft LLC | Counselor | 57 North St Ste 115, Danbury, CT 06810-5626 | 2019-10-24 |
| 1427527266 | Icon Health Corp | Counselor | 1 Kennedy Ave Unit 2136, Danbury, CT 06810-5995 | 2018-11-23 |
| 1588162606 | Sabrina Alexandra Donalies | Counselor | 41 Mayfair Sq, Danbury, CT 06810-5251 | 2018-01-23 |
| 1164768602 | Scott Michael Trefny | Counselor | 8 Cel Bret Dr, Danbury, CT 06810-7215 | 2013-01-02 |
| 1619241494 | Rafaela Dasilva Moraes | Counselor | 1 Hobson St, Danbury, CT 06810-6431 | 2012-02-27 |
| 1780956920 | Jennifer Cohen | Counselor | 36 Mill Plain Rd Ste 312, Danbury, CT 06811-5114 | 2012-02-03 |
| 1588897466 | Jennifer Ann Miroslaw | Counselor | 7145 Fremsted Rd, Danbury, WI 54830-8764 | 2009-08-26 |
| 1780869156 | Claudette Ames | Counselor | 72 North St Ste 201, Danbury, CT 06810-5653 | 2008-01-04 |
| 1093910861 | John Campbell Hines | Counselor | 1570 Nc 8 & 89 Hwy N, Danbury, NC 27016 | 2007-06-20 |
| 1528277548 | Ruth Buckley-maderski | Counselor | 57 North St Ste 419, Family Study Center, Danbury, CT 06810-5629 | 2007-05-22 |
| Find all providers in DANBURY | ||||
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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.