Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Damien Tilliman

Individual provider Clinical Psychologist · NPI 1588205272

Damien Tilliman is a Clinical Psychologist in Long Island City, New York. Qualified in 2016, 10 years ago. Practices with Mind in Motion Psychological Services, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2019

Practice location Address checks out

4332 22nd St Ste 203
Long Island City, NY 11101-5077
Phone: (585) 750-0091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 022266 (NY)

Record details

NPI number1588205272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mind In Motion Psychological Services, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Long Island City