Healthcare Provider Details

I. General information

NPI: 1649195561
Provider Name (Legal Business Name): MARLENE M REIL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 DODGE AVE
PITTSFIELD MA
01201-7201
US

IV. Provider business mailing address

28 DODGE AVE
PITTSFIELD MA
01201-7201
US

V. Phone/Fax

Practice location:
  • Phone: 917-310-5126
  • Fax: 413-321-5882
Mailing address:
  • Phone: 917-310-5126
  • Fax: 413-321-5882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MARLENE M REIL
Title or Position: MANAGING MEMBER
Credential: PHD, PMHMP-BC
Phone: 917-310-5126