Brandi Dawn Liles, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

26903 Issued in CA

Practice address

3671 Business Dr
Suite # 100
Sacramento, CA 95820-2165

Phone

(916) 734-2278

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Red Leaf Psychology, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
  • NPI 1942073564
  NPD
• UC Davis Children'S Hospital

  • Children's Hospital
  • Sacramento, CA
  • NPI 1699053363
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1962641126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DR",
            "address_2": "SUITE # 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DR",
            "address_2": "SUITE # 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 H St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958113109",
            "country_code": "US",
            "telephone_number": "405-206-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILES",
        "first_name": "BRANDI",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26903",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "26903",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Visionary Group
• Janis Miller Lightman, O.D.
• Sandra J Lightner, NP
• Brianna Lynn Ligon
• Liha Adult Day Health Care Center, Inc
• Karen Louise Lilienthal, LCSW
• James Arthur Lilla, M.D.
• Sierra Lillard
• Lille'S Love Counseling Services
• Jacob William Lilley, M.A., BCBA

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.