Bobbie H Lilly, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4268 Issued in TX

Practice address

1011 Granbury St
Cleburne, TX 76033-5752

Phone

(817) 645-3328

Fax

(817) 558-3203

NPI assigned

Aug 10, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Path Psychological Services

  • Clinical Psychologist
  • Cleburne, TX
  • NPI 1407470974
  NPD (past)
• Tara Mitchell, LCSW

  • Clinical Social Worker
  • Cleburne, TX
  • NPI 1245830991
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215938428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GRANBURY ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335752",
            "telephone_number": "817-645-3328",
            "fax_number": "817-558-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 GRANBURY ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335752",
            "telephone_number": "817-645-3328",
            "fax_number": "817-558-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "BOBBIE",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lansford Family Medicine, PLLC
• Amy Kristin Laude, MD
• Thai Le, D.D.S
• Brady Latham Leissner
• Lifecare Health Ventures, LLC
• Living Well Texas Home Health Care, LLC
• Long Family Dental PA
• Christopher T Long, DDS
• Henry T Long Jr., DDS
• Robert T Long, DDS

• Psychologist in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.