Lilly Jay

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025190 Issued in NY

Practice address

950 Danby Rd
Ithaca, NY 14850-5778

Phone

(607) 260-3100

NPI assigned

Aug 11, 2020

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1548871767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 DANBY RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505778",
            "telephone_number": "607-260-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DANBY RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505778",
            "telephone_number": "607-260-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13130 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914016000",
            "country_code": "US",
            "telephone_number": "818-779-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAY",
        "first_name": "LILLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025190",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti L Jacobson, DC
• Kimberly Brett Jakobson
• Maureen Bernier Jakubson, OTR
• Lucia Jander, MD
• Barbara Jastran, LCSW-R
• Gayatri Jayaraman, MD
• Shane Clinton Jaynes, LCSWR
• Farla Jean-Louis, MD
• Kaysha Jean, M.D.
• Bohdan Jemetz, O.D.

• Clinical Psychologist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.