Lisa L Lynch

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

003345-1 Issued in NY

Practice address

2 Fountain St
Sutite 109
Clinton, NY 13323-1725

Phone

(315) 853-6090

Fax

(315) 853-3190

NPI assigned

Sep 23, 2010

Last updated

Sep 23, 2010By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Building Blocks Learning Center,LLC

  • Early Intervention Provider Agency
  • Clinton, NY
  • NPI 1760628754
  NPD (past)

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1053629154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 MILITARY RD",
            "city": "NEWPORT",
            "state": "NY",
            "postal_code": "134163213",
            "telephone_number": "315-853-6090",
            "fax_number": "315-853-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FOUNTAIN ST",
            "address_2": "SUTITE 109",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231725",
            "telephone_number": "315-853-6090",
            "fax_number": "315-853-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "003345-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Logalbo
• Lora a. Abraham, LCSW, P.C. (Clinton Therapy and Testing Center)
• Joan Loughran
• Lutheran Home of Central New York
• Heather Lynch
• Erin Macdonald
• Jeanmarie Maier
• Jessica Lee Main
• Michael Maniscalco
• Rosemary S Marcus, MS, OTR/L

• Early Intervention Provider Agency in Clinton, NY
• Providers in Clinton, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.