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John Reilly, PHD
NPI 1417032954 · Clinical Psychologist · Portland, OR
John Reilly, PHD is a Clinical Psychologist provider in Portland, OR (NPI 1417032954).
Provider details
- NPI number
- 1417032954
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 1173 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12636 Se Stark
Portland, OR 97233
Phone: (503) 253-4600
Fax: (503) 253-4609
Street-level locationGet directions
Mailing address
Po Box 82819
Portland, OR 97282
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Reilly's NPI number?
- John Reilly's National Provider Identifier (NPI) is 1417032954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Reilly's specialty?
- John Reilly is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is John Reilly located?
- John Reilly's practice location on file with NPPES is 12636 Se Stark, Portland, OR 97233.
- What is John Reilly's phone number?
- The practice phone number listed in the NPPES registry for John Reilly is (503) 253-4600.
- Is John Reilly's NPI active?
- Yes — John Reilly's NPI (1417032954) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.