Active NPI
Lynn A Lombardo, MA, LLP
- Clinical Psychologist
- Plymouth, MI
National Provider Identifier
1073892345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301006159
- Practice address
- 215 Ann Arbor Rd W Ste 206
Plymouth, MI 48170-2251 - Phone
- (248) 561-6208
- Fax
- (248) 398-4451
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 6301006159 | MI | Primary |
Addresses
Primary practice location
215 Ann Arbor Rd W Ste 206
Plymouth, MI 48170-2251
Mailing address
2239 Cummings Ave
Berkley, MI 48072-1081
Phone (248) 561-6208
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006159 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1073892345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 CUMMINGS AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721081",
"telephone_number": "248-561-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 ANN ARBOR RD W STE 206",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702251",
"telephone_number": "248-561-6208",
"fax_number": "248-398-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDO",
"first_name": "LYNN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301006159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.