Active NPI
Cheryl Lykins
- Psychologist
- Fairfield, OH
National Provider Identifier
1013305788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- OT10000588
- Practice address
- 255 Donald Dr
Fairfield, OH 45014-3006 - Phone
- (513) 829-4504
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | OT10000588 | OH | Primary |
Addresses
Primary practice location
255 Donald Dr
Fairfield, OH 45014-3006
Mailing address
255 Donald Dr
Fairfield, OH 45014-3006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT10000588 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1013305788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 DONALD DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450143006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 DONALD DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450143006",
"telephone_number": "513-829-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYKINS",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "OT10000588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.