Active NPI
Lyra Barrera, PSY.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1063905222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21518
- Practice address
- 252 N Larchmont Blvd Ste 202
Los Angeles, CA 90004-3754 - Phone
- (323) 980-7960
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY21518 | CA | Primary |
Addresses
Primary practice location
252 N Larchmont Blvd Ste 202
Los Angeles, CA 90004-3754
Mailing address
252 N Larchmont Blvd Ste 202
Los Angeles, CA 90004-3754
Phone (323) 980-7960
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 |
|---|---|---|---|
| PSY21518 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1063905222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 N LARCHMONT BLVD STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043754",
"telephone_number": "323-980-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 N LARCHMONT BLVD STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043754",
"telephone_number": "323-980-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA",
"first_name": "LYRA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.