Individual provider Active NPI

Lynda Hyatt, PH. D.

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1114648482
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000206 Issued in VA
Practice address
4905 Dickens Rd Ste 106
Richmond, VA 23230-1953
Phone
(804) 767-0292
Fax
(804) 269-5003
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810000206 VA Primary

Addresses

Primary practice location

4905 Dickens Rd Ste 106
Richmond, VA 23230-1953

Mailing address

4905 Dickens Rd Ste 106
Richmond, VA 23230-1953
Phone (804) 767-0292

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810000206VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Homes, Inc. CurrentSince Sep 11, 2022 Accepting new patients

Locations

4905 Dickens Rd
Ste 106
Richmond, VA 23230
Phone (540) 476-3334

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1114648482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 DICKENS RD STE 106",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301953",
            "telephone_number": "804-767-0292",
            "fax_number": "804-269-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DICKENS RD STE 106",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301953",
            "telephone_number": "804-767-0292",
            "fax_number": "804-269-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "LYNDA",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.