Active NPI
Adam M Lynn, PSYD
- Clinical Psychologist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014074
- Practice address
- 1910 Pelham Pkwy S
Apt 1B
Bronx, NY 10461-3726 - Phone
- (718) 823-4864
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- 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 | 014074 | NY | Primary |
Addresses
Primary practice location
1910 Pelham Pkwy S
Apt 1B
Bronx, NY 10461-3726
Mailing address
1910 Pelham Pkwy S
Apt 1B
Bronx, NY 10461-3726
Phone (718) 823-4864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02022920 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
250 E Hartsdale Ave
Suite 23
Hartsdale, NY 10530-3574
Phone (646) 456-0205
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Psychological PLLC | Current | Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients |
Locations
1910 Pelham Pkwy S
Apt 1B
Bronx, NY 10461
Phone (718) 823-4864
2307 Eastchester Rd
Bronx, NY 10469
Phone (646) 456-0205
250 E Hartsdale Ave
Ste 23
Hartsdale, NY 10530
Phone (646) 456-0205
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 2
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.
-
- Psychologist
- Bronx, NY
- NPI 1205142585
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1154463263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 PELHAM PKWY S",
"address_2": "APT 1B",
"city": "BRONX",
"state": "NY",
"postal_code": "104613726",
"telephone_number": "718-823-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 PELHAM PKWY S",
"address_2": "APT 1B",
"city": "BRONX",
"state": "NY",
"postal_code": "104613726",
"telephone_number": "718-823-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "ADAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02022920",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.