Individual provider Active NPI

Carrie N. Dilley, PH.D.

  • Clinical Psychologist
  • Boerne, TX
National Provider Identifier
1255464756
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39648 Issued in TX
Practice address
229 N Main St Ste 202
Boerne, TX 78006-2035
Phone
(210) 964-0922
Fax
(626) 539-2004
NPI assigned
Mar 13, 2007
Sex
Female
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
Cognitive & Behavioral Psychologist 103TB0200X 39648 TX
Clinical Psychologist 103TC0700X PSY22573 CA
Counseling Psychologist 103TC1900X 39648 TX
Clinical Child & Adolescent Psychologist 103TC2200X 39648 TX
Adult Development & Aging Psychologist 103TA0700X 39648 TX
Clinical Psychologist 103TC0700X 39648 TX Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY22573 CA
Group Psychotherapy Psychologist 103TP2701X 39648 TX
Group Psychotherapy Psychologist 103TP2701X PSY22573 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY22573 CA
Exercise & Sports Psychologist 103TE1100X 39648 TX
Health Psychologist 103TH0004X 39648 TX
Family Psychologist 103TF0000X 39648 TX
Family Psychologist 103TF0000X PSY22573 CA
Health Service Psychologist 103TH0100X 39648 TX

Addresses

Primary practice location

229 N Main St Ste 202
Boerne, TX 78006-2035

Mailing address

229 N Main St Ste 202
Boerne, TX 78006-2035
Phone (210) 964-0922

Other practice location 1

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

Other practice location 2

505 W Sierra Madre Blvd
Sierra Madre, CA 91024-2364
Phone (626) 539-2001

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
PSY22573CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dilley Psychology Group, P.C. Adult Development & Aging CurrentSince Mar 31, 2024 Accepting new patients

Locations

229 N Main St
Ste 202
Boerne, TX 78006
Phone (210) 964-0922

Organizations & group practices 1

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.

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": "1255464756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST STE 202",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062035",
            "telephone_number": "210-964-0922",
            "fax_number": "626-539-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST STE 202",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062035",
            "telephone_number": "210-964-0922",
            "fax_number": "626-539-2004"
        }
    ],
    "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 x2",
            "fax_number": "626-539-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 W Sierra Madre Blvd",
            "address_purpose": "LOCATION",
            "city": "Sierra Madre",
            "state": "CA",
            "postal_code": "910242364",
            "country_code": "US",
            "telephone_number": "626-539-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLEY",
        "first_name": "CARRIE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22573",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39648",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY22573",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY22573",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY22573",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "39648",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY22573",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "39648",
            "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.