DONALD AMOS LILLEY


Address: 1800 Tully Rd, Suite F, Modesto, CA 95350-2946
Phone: 2095761750

DONALD AMOS LILLEY (NPI# 1588922140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588922140
Entity Type Individual
Full Name DONALD AMOS LILLEY
Credential LMFT
Practice Address 1800 Tully Rd
Suite F
Modesto
CA 95350-2946
Mailing Address 12414 Mills St
Groveland
CA 95321-9322
Practice Telephone 2095761750
Mailing Telephone 2099626540
Enumeration Date 2012-05-01
Last Update Date 2012-05-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor LMFT 19577 CA Other Service Providers

Office Location

Street Address 1800 TULLY RD
SUITE F
City MODESTO
State CA
Zip Code 95350-2946

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336145242 Craig Lee Sharp IIi Chiropractor 1800 Tully Rd, Ste D, Modesto, CA 95350-2923 2005-06-24
1730509241 Lakhvir Kaur Case Manager/Care Coordinator 1800 Tully Rd, Suite A2, Modesto, CA 95350-2946 2014-04-23
1396176194 Daisy Moreno Case Manager/Care Coordinator 1800 Tully Rd, Suite A-2, Modesto, CA 95350-2946 2013-12-03
1013258276 Hagar Jannane Cardenas Case Manager/Care Coordinator 1800 Tully Rd, Suite A2, Modesto, CA 95350-2946 2013-03-12
1255675906 Jaqueline Tafolla Aguilar Case Manager/Care Coordinator 1800 Tully Rd, Suite A2, Modesto, CA 95350-2946 2012-11-19
1497007652 Vintrica Victoria Grant Counselor 1800 Tully Rd, Suite F, Modesto, CA 95350-2946 2012-10-11
1437409760 Tonya Renee Laster Marriage & Family Therapist 1800 Tully Rd, Suite A-2, Modesto, CA 95350-2946 2012-09-13
1528326196 Carmen Gray Student in an Organized Health Care Education/Training Program 1800 Tully Rd, Suite A-2, Modesto, CA 95350-2946 2012-05-02
1801171798 Maya Taylor Case Manager/Care Coordinator 1800 Tully Rd, Suite F, Modesto, CA 95350-2946 2011-10-11
1437433893 Paula Gardner Student in an Organized Health Care Education/Training Program 1800 Tully Rd, Modesto, CA 95350-2946 2011-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427417146 Louise Elizabeth Baker Contractor 1629 W Whitmore Ave, Modesto, CA 95358-9452 2016-02-23
1730408808 Karen Denise Lott Contractor 3013 Tully Rd, Modesto, CA 95350-0806 2010-05-27
1730718933 Cali Evans Contractor 1217 Mcguire Dr, Modesto, CA 95355-3954 2020-04-08
1821298787 Lizbeth Hernandez Contractor 820 Scenic Dr, Modesto, CA 95350-6131 2007-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194324012 Bailey Rose Medical Billing LLC Contractor 839 Fan Palm Ln, Brentwood, CA 94513-5680 2020-10-21
1245837566 Irshad H Fardan Contractor 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249 2020-10-09
1245838531 Karen Strickland Contractor 3450 Sacramento St # 531, San Francisco, CA 94118-1914 2020-10-09
1831796879 Laura Barker Contractor 55 River Oaks Pl Apt 381, San Jose, CA 95134-2074 2020-10-02
1477167054 Jarib Takezhi Concilco Colin Contractor 3862 Sherwood Pl, Sherman Oaks, CA 91423-4608 2020-09-01
1609492289 Neil Sankar Contractor 3610 Flora Vista Ave Apt 238, Santa Clara, CA 95051-3508 2020-06-19
1467077404 Eric Avirett Contractor 1944 Bonita Ave, Berkeley, CA 94704-1038 2020-06-16
1699305805 Sanjiv Ramdeo Contractor 710 Santa Susana St, Sunnyvale, CA 94085-3470 2020-01-16
1407498942 Terry Lee Moffit Contractor 1165 W 15th St, San Bernardino, CA 92411-1811 2019-10-16
1538701693 Ramin P Shirazi IIi Contractor 25411 Mina Ct, Lake Forest, CA 92630-5311 2019-10-10
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Competitor

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City MODESTO
Zip Code 95350

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Dataset Information

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.

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