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

Lilly Jay

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548871767

Lilly Jay is a Student in an Organized Health Care Education/Training Program in Ithaca, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

950 Danby Rd
Ithaca, NY 14850-5778
Phone: (607) 260-3100
Show map & directions

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

Additional practice locations (1)

  • 13130 Burbank Blvd, Sherman Oaks, CA 91401-6000 — (818) 779-5201

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 025190 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548871767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2020
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address950 Danby Rd, Ithaca, NY 14850-5778

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