Drlullaby LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DRLULLABY LLC

Practice address

4533 Macarthur Blvd
Newport Beach, CA 92660-2059

Phone

(844) 475-3379

NPI assigned

Jan 27, 2023

Organization subpart

Yes

Parent organization

DRLULLABY LLCAs reported in NPPES

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

Authorized official

Name

Lisa Ann Medalie

Title

Ceo

Phone

(844) 475-3379

Specialties & licenses 1

Addresses

Part of

Drlullaby LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Drlullaby LLC

  • Clinic/Center
  • Burke, VA
  • NPI 1164138731

  Member Of

  NPD member

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1174239636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DAVIS ST STE 5767",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015945",
            "telephone_number": "844-475-3379",
            "fax_number": "855-644-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 MACARTHUR BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602059",
            "telephone_number": "844-475-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRLULLABY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRLULLABY LLC",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "MEDALIE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-475-3379"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Shannon Curry, Psy.D., Inc. (Curry Psychology Group)
• Dr. Todd Forman, Inc.
• Jessica Drew de Paz, PSY.D.
• Jane Myers Drew, PH.D.
• Steven Douglas Dreyer, D.C.
• Ari Drosman
• Leslie M. Drozd, PH.D.
• Carla Du Mont
• Johnnette Du Rand Kelly, MT, CMLDT
• Marlon N Duarte

• Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.