Kathleen M Lyons LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KATHLEEN M LYONS LLC

Practice address

205 Willow St BLDG B
South Hamilton, MA 01982-2255

Phone

(978) 572-0788

Fax

(844) 222-4840

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen M Lyons, LICSWNPI 1295379238

Title

Clinical Social Worker

Phone

(978) 572-0788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen M Lyons, LICSW

  • Clinical Social Worker
  • South Hamilton, MA
  • NPI 1295379238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1073289971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CANTER BROOK LN",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019825200",
            "telephone_number": "978-572-0788",
            "fax_number": "844-222-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLOW ST BLDG B",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822255",
            "telephone_number": "978-572-0788",
            "fax_number": "844-222-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M LYONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "978-572-0788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Johnson, PT, DPT
• Andrew Jones
• Julia Taddonio, PSYD, PC
• Aliki Kallas, FNP-BC
• Brian Kang
• Robert Kaufman, MSW
• Samantha Keck
• Patrick Keeley
• Andrew Steven Kerhoulas
• Nora Katharine Kline, PHD

• Adult Mental Health Clinic/Center in South Hamilton, MA
• Providers in South Hamilton, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.