Organization Active NPI

Kathleen Lilley

  • Exclusive Provider Organization
  • Ithaca, NY
National Provider Identifier
1306229091
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
RO32001 Issued in NY
Legal business name
KATHLEEN LILLEY
Practice address
233 S Albany St
Ithaca, NY 14850-5403
Phone
(607) 272-8600
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Kathleen Lilley, LCSW-R
Title
Psychotherapist
Phone
(607) 272-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X RO32001 NY Primary

Addresses

Primary practice location

233 S Albany St
Ithaca, NY 14850-5403

Mailing address

233 S Albany St
Ithaca, NY 14850-5403
Phone (607) 272-8600

National Provider Directory

National Provider Directory

Locations

233 S Albany St
Ithaca, NY 14850
Phone (607) 229-6344

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1306229091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505403",
            "telephone_number": "607-272-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505403",
            "telephone_number": "607-272-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN LILLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "LILLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "607-272-8600",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "RO32001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.