LIBERTY JEDIDIAH LILLIBRIDGE
NPI 1275409005
Psychologist in New York, NY

Active since October 17, 2025
1430 BROADWAY RM 1510, NEW YORK, NY 10018(929) 205-4775 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Jedidiah Lillibridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY JEDIDIAH LILLIBRIDGE (NPI 1275409005) is an individual psychologist in New York, New York and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1275409005
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameLIBERTY JEDIDIAH LILLIBRIDGE
Location Address1430 BROADWAY RM 1510New York, NY 10018-3368
Mailing Address1430 Broadway Rm 1510New York, NY 10018-3368
Sole ProprietorNo
Enumeration DateOctober 17, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 17, 2025
NPI 1275409005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1430 BROADWAY RM 1510, New York, NY 10018

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Health)
1430 BROADWAY RM 1510
NEW YORK, NY 10018
Psychologist (Clinical)
1430 BROADWAY RM 1510
NEW YORK, NY 10018
Psychologist (Clinical)
1430 BROADWAY RM 1510
NEW YORK, NY 10018
Psychologist (Clinical)
1430 BROADWAY RM 1510
NEW YORK, NY 10018
Psychologist (Clinical)
1430 BROADWAY RM 1510
NEW YORK, NY 10018
Psychologist
1430 BROADWAY RM 1510
NEW YORK, NY 10018
Psychologist
1430 BROADWAY RM 1510
NEW YORK, NY 10018
Clinic/Center (Mental Health (Including Community Mental Health Center))
1430 BROADWAY RM 1510
NEW YORK, NY 10018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Lillibridge's NPI number?

The NPI number for Liberty Lillibridge is 1275409005. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Where is Liberty Lillibridge located?

Liberty Lillibridge practices at 1430 Broadway Rm 1510, New York, NY 10018. The listed phone number is (929) 205-4775.

What is Liberty Lillibridge's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Liberty Lillibridge was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.