ANNA TILLERY MA, BCBA, LPA
NPI 1649746413
Psychologist in Mooresville, NC

Active since October 19, 2018
647 BRAWLEY SCHOOL RD STE 104, MOORESVILLE, NC 28117(704) 703-8588 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 15, 2023, Oct 19, 2018 (2 updates tracked since 2018).

About Anna Tillery Ma, Bcba, Lpa NPPES

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

ANNA TILLERY MA, BCBA, LPA (NPI 1649746413) is an individual psychologist in Mooresville, North Carolina, licensed in North Carolina (5446) and active in the NPI registry since October 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649746413
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANNA TILLERYCredential: MA, BCBA, LPA
Location Address647 BRAWLEY SCHOOL RD STE 104Mooresville, NC 28117-6876
Mailing Address3402 Denada PathDurham, NC 27707-6039 · (336) 317-2844
Sole ProprietorNo
Enumeration DateOctober 19, 2018
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
NPI 1649746413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 5446
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.

Also ListedBehavior AnalystTaxonomy 103K00000X
647 BRAWLEY SCHOOL RD STE 104, Mooresville, NC 28117

Secondary Practice Locations 2

Location 18801 Fast Park Dr Ste 101Raleigh, NC 27617-4853 · Phone (704) 703-8588
Location 2107 Commerce Centre Dr Ste 204Huntersville, NC 28078-5870 · Phone (704) 703-8588

Accepted Insurance

Other Providers at the Same Location NPPES 16

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

Psychologist
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117
Psychologist
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117
Internal Medicine (Hospice and Palliative Medicine)
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117
Hospice Care, Community Based
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117
Hospice Care, Community Based
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117
Hospice Care, Community Based
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117
Behavior Analyst
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117
Hospice Care, Community Based
647 BRAWLEY SCHOOL RD STE 104
MOORESVILLE, NC 28117

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 Anna Tillery's NPI number?

The NPI number for Anna Tillery is 1649746413. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Anna Tillery located?

Anna Tillery practices at 647 Brawley School Rd Ste 104, Mooresville, NC 28117. The listed phone number is (704) 703-8588.

What is Anna Tillery's specialty?

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

What insurance does Anna Tillery accept?

Health plans from Blue Cross and Blue Shield of NC list Anna Tillery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anna Tillery was last updated on February 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.