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

Dr. Jeffrey Jay Lille, PHD

Individual provider Clinical Psychologist · NPI 1124225628

Dr. Jeffrey Jay Lille, PHD is a Clinical Psychologist in San Luis Obispo, California. Qualified in 1983, 43 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
43
Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1264 Higuera St Ste 201
San Luis Obispo, CA 93401-3124
Phone: (805) 550-3162
Fax: (805) 474-1521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY9831 (CA)

Record details

NPI number1124225628
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Luis Obispo