Behavioral Medicine, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001724 Issued in GA

Legal business name

BEHAVIORAL MEDICINE, LLC

Practice address

3585 Vineville Ave
Macon, GA 31204-1872

Phone

(478) 476-0403

Fax

(478) 476-9533

NPI assigned

Dec 12, 2007

Organization subpart

No

Name

Dr. Christopher J Tillitski, PH.D.NPI 1467545988

Title

Psychologist/President

Phone

(478) 476-0403

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Tillitski, PH.D.

  • Cognitive & Behavioral Psychologist
  • Macon, GA
  • NPI 1467545988
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2007.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1457534513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041872",
            "telephone_number": "478-476-0403",
            "fax_number": "478-476-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041872",
            "telephone_number": "478-476-0403",
            "fax_number": "478-476-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "TILLITSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "478-476-0403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "001724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "68BBDDL",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Bradley Bedgood, D.O.
• George C. Bedingfield
• Jada C Beeson, CRNA
• Uzma Beg, MD
• Behavioral Learned Management LLC
• Sara Strebe Behrens, MD
• Belair at Macon
• Bell Senior Services, LLC
• Alissa Marie Bell, LPC
• Cara C Bell, PA-AA

• All providers in Macon, GA
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.