DR. BRANDI DAWN LILES (NPI# 1962641126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962641126 |
| Entity Type | Individual |
| Full Name | DR. BRANDI DAWN LILES |
| Credential | PHD |
| Practice Address |
3671 Business Dr Suite # 100 Sacramento CA 95820-2165 |
| Mailing Address |
3671 Business Dr Suite # 110 Sacramento CA 95820-2165 |
| Practice Telephone | 9167342278 |
| Mailing Telephone | 9167342278 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 26903 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336637479 | Brandi Liles | Physical Therapy Assistant | 10481 Keysburg Ct, Shreveport, LA 71106-7785 | 2018-04-24 |
| Street Address |
3671 BUSINESS DR SUITE # 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95820-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303360 | Anthony Joseph Urquiza | Psychologist | 3671 Business Dr, Sacramento, CA 95820-2165 | 2005-11-15 |
| 1245857150 | Jonathan Bystrynski | Student in an Organized Health Care Education/Training Program | 3671 Business Dr, Suite 110, Sacramento, CA 95820 | 2020-06-26 |
| 1740821727 | Taylor Jacob Baldwin | Counselor | 3671 Business Dr, Sacramento, CA 95820-2197 | 2019-10-01 |
| 1154987899 | Sydney Klatt | Student in an Organized Health Care Education/Training Program | 3671 Business Dr, Sacramento, CA 95820-2197 | 2019-05-17 |
| 1053878165 | Eori Tokunaga | Community Health Worker | 3671 Business Dr, Sacramento, CA 95820-2197 | 2019-02-25 |
| 1225592587 | Colleen Anne Allen | Community Health Worker | 3671 Business Dr, Sacramento, CA 95820-2197 | 2019-01-30 |
| 1306332994 | Amanda Marquez | Student in an Organized Health Care Education/Training Program | 3671 Business Dr, Sacramento, CA 95820-2197 | 2018-07-06 |
| 1093201675 | Alexandria King | Student in an Organized Health Care Education/Training Program | 3671 Business Dr, Sacramento, CA 95820 | 2018-07-06 |
| 1164918827 | Susanna Jane Crowell Mcquarrie | Student in an Organized Health Care Education/Training Program | 3671 Business Dr, Sacramento, CA 95820-2197 | 2018-07-06 |
| 1013403757 | Chelsea Nicole Montgomery | Student in an Organized Health Care Education/Training Program | 3671 Business Dr, Sacramento, CA 95820-2197 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
| 1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
| 1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
| 1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
| 1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
| 1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
| 1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
| Find all providers in zip 95820 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098885 | Alexander Laszlo Peterkin | Psychologist | 4500 Truxel Rd Apt 834, Sacramento, CA 95834-3739 | 2020-06-23 |
| 1548881667 | Jene Edwards | Psychologist | 3090 Fite Cir Ste 102, Sacramento, CA 95827-1810 | 2020-04-29 |
| 1215597968 | Kaitlyn Hoitomt | Psychologist | 3331 Power Inn Rd # 140, Sacramento, CA 95826-3889 | 2019-06-15 |
| 1215452925 | Tiffany Chang | Psychologist | 1500 W El Camino Ave # 420, Sacramento, CA 95833-1945 | 2017-08-03 |
| 1699220046 | Kira Christensen | Psychologist | 3630 Winding Creek Rd, Sacramento, CA 95864-1531 | 2016-08-15 |
| 1932565769 | First Love Yourself Inc. | Psychologist | 3425 1st Ave, Apartment 4, Sacramento, CA 95817-2034 | 2016-01-09 |
| 1649682469 | Walter (rusty) Wallace Otto | Psychologist | 1970 University Park Drive, Sacramento, CA 95825 | 2014-05-28 |
| 1912332107 | Laura Magdalen Tully | Psychologist | 4701 X St, Uc Davis Imaging Research Center, Sacramento, CA 95817-2219 | 2013-09-06 |
| 1154763936 | Jonathan Preiss | Psychologist | 801 Alhambra Blvd Ste 2b, Sacramento, CA 95816-4432 | 2013-07-22 |
| 1700165016 | Donald Lawrence Salz | Psychologist | 2540 Land Park Dr, Sacramento, CA 95818-2244 | 2011-08-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95820 |
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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.