Bethany Lilliquist, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

019268 Issued in NY

Practice address

333 E 43Rd St
Lobby Suite 1
New York, NY 10017-4831

Phone

(917) 409-7637

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bethany Aaronson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1043591639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 43RD ST",
            "address_2": "LOBBY SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174831",
            "telephone_number": "917-409-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 43RD ST",
            "address_2": "LOBBY SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174831",
            "telephone_number": "917-409-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIQUIST",
        "first_name": "BETHANY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "AARONSON",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn A Lillemoe, MD
• Patrick Collins Lilley
• Liberty Jedidiah Lillibridge
• Caroline Lillicraf, FNP
• Alexis Lillie
• Danielle Nicole Lillis, CRNA
• Jennifer Lillis
• Barbara Lilliston, LCSW
• Crystal Lillo, LMHC
• Sarah C Lilly, MD

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.