Lyndal J Penner Ed.S. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

142 Issued in KS

Legal business name

LYNDAL J PENNER ED.S. LLC

Practice address

1 N Main St Ste 416
Hutchinson, KS 67501-5250

Phone

(620) 708-6000

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lyndal J Penner, ED.S.

Title

Psychotherapist/Owner

Phone

(620) 708-6000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1043686298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675040604",
            "telephone_number": "620-708-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST STE 416",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015250",
            "telephone_number": "620-708-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDAL J PENNER ED.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "LYNDAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "620-708-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "142",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Lubbers
• Anne L Lucia, PTA
• Autum M Lustfield, LMAC
• Brett Taylor Lyman, DDS
• Karen Jean Lynch
• Tamara S Madden, LSCSW
• Kathy Mailloux, RN
• Utakarsh Malge
• Basit A Malik, MD
• William Mallonee, MD

• Clinical Psychologist in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.