Ronald Kenrick Lyde

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13811 Issued in CA

Practice address

2035 E Ball Rd Ste 200
Anaheim, CA 92806-5157

Phone

(714) 517-6300

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1043338791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 ATLANTA AVE STE D3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077418",
            "telephone_number": "951-955-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 E BALL RD STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065157",
            "telephone_number": "714-517-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1827 Atlanta Ave Ste D3",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925077418",
            "country_code": "US",
            "telephone_number": "951-955-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYDE",
        "first_name": "RONALD",
        "middle_name": "KENRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "13811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Ly, O.D.
• Kimson Ly
• Nhu Ly, PHARMD
• Tranh My Ly, RDHAP
• Vivian Ly, PHARMD
• Brian C Lyn, PHARM.D.
• Lansey Lynch
• Linda Lynes, LMFT
• Joanne Glory Lynn, LCSW
• David A. Lyon, DO

• Mental Health Counselor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.