Individual provider Active NPI

Joseph Brandon Dilley, PH.D.

  • Clinical Psychologist
  • Boerne, TX
National Provider Identifier
1205969706
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39649 Issued in TX
Practice address
229 N Main St Ste 2022
Boerne, TX 78006-2035
Phone
(210) 964-0921
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 39649 TX
Intellectual & Developmental Disabilities Psychologist 103TM1800X 39649 TX
Group Psychotherapy Psychologist 103TP2701X 22371 CA
Group Psychotherapy Psychologist 103TP2701X 39649 TX
Clinical Psychologist 103TC0700X 39649 TX Primary
Adult Development & Aging Psychologist 103TA0700X 39649 TX
Cognitive & Behavioral Psychologist 103TB0200X 39649 TX
Adult Development & Aging Psychologist 103TA0700X 22371 CA
Clinical Psychologist 103TC0700X PSY22371 CA
Counseling Psychologist 103TC1900X 39649 TX
Clinical Child & Adolescent Psychologist 103TC2200X 22371 CA
Clinical Child & Adolescent Psychologist 103TC2200X 39649 TX
Exercise & Sports Psychologist 103TE1100X 22371 CA
Family Psychologist 103TF0000X 22371 CA
Family Psychologist 103TF0000X 39649 TX

Addresses

Primary practice location

229 N Main St Ste 2022
Boerne, TX 78006-2035

Mailing address

229 N Main St Ste 2022
Boerne, TX 78006-2035
Phone (210) 964-0921

Other practice location 1

147 W Sierra Madre Blvd Fl 2
Sierra Madre, CA 91024-2492
Phone (626) 539-2001 ext. 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY22371CAMDClinical Psychologist
39649TXMDGeneral Practice Dentistry
22371CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1205969706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST STE 2022",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062035",
            "telephone_number": "210-964-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST STE 2022",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062035",
            "telephone_number": "210-964-0921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 W Sierra Madre Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Sierra Madre",
            "state": "CA",
            "postal_code": "910242492",
            "country_code": "US",
            "telephone_number": "626-539-2001 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLEY",
        "first_name": "JOSEPH",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "39649",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "39649",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "22371",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "39649",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39649",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TX",
            "license": "39649",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "39649",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "22371",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22371",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "39649",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "22371",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "39649",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CA",
            "license": "22371",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "22371",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "39649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.