Individual provider Active NPI

Christine Lillja, PSY.D.

  • Clinical Psychologist
  • Lake Forest, CA
National Provider Identifier
1629610423
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31094 Issued in CA
Practice address
22996 El Toro Rd Ste 107
Lake Forest, CA 92630-4961
Phone
(949) 235-5104
NPI assigned
Oct 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31094 CA Primary

Addresses

Primary practice location

22996 El Toro Rd Ste 107
Lake Forest, CA 92630-4961

Mailing address

24812 Via del Rio
Lake Forest, CA 92630-2630
Phone (949) 235-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611002034 CA Practitioner - Clinical Psychologist 0547682932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22996 El Toro Rd
Suite 107
Lake Forest, CA 92630-4961
Phone (949) 235-5109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31094CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drchriscounseling LLC Clinical CurrentSince Aug 25, 2025 Accepting new patients
Darrell Broaddus Psychological Services PC Clinical Past Accepting new patients

Locations

22996 El Toro Rd
Ste 107
Lake Forest, CA 92630
Phone (949) 235-5104

Organizations & group practices 2

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": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1629610423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24812 VIA DEL RIO",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302630",
            "telephone_number": "949-235-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22996 EL TORO RD STE 107",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304961",
            "telephone_number": "949-235-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLJA",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.