Active NPI
Joseph Brandon Dilley, PH.D.
- Clinical Psychologist
- Boerne, TX
National Provider Identifier
1205969706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 39649
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22371 | CA | MD | Clinical Psychologist |
| 39649 | TX | MD | General Practice Dentistry |
| 22371 | CA | MD | Occupational 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.