Organization Active NPI

Thelma F. Lynch, RN, PH.D., PA

  • Clinical Psychologist
  • Winter Springs, FL
National Provider Identifier
1154582658
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6447 Issued in FL
Legal business name
THELMA F. LYNCH, RN, PH.D., PA
Practice address
1806 Town Plaza CT
Winter Springs, FL 32708-6206
Phone
(407) 695-3664
Fax
(407) 695-3674
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Thelma F. Lynch, RN, PH.D., PANPI 1073550422
Title
D.P.
Phone
(407) 695-3664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6447 FL Primary

Addresses

Primary practice location

1806 Town Plaza CT
Winter Springs, FL 32708-6206

Mailing address

1806 Town Plaza CT
Winter Springs, FL 32708-6206
Phone (407) 695-3664

Other identifiers 1

IdentifierTypeStateIssuer
54858OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000191 FL Part B Supplier - Clinic/Group Practice 5092973966 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1154582658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 TOWN PLAZA CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086206",
            "telephone_number": "407-695-3664",
            "fax_number": "407-695-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 TOWN PLAZA CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086206",
            "telephone_number": "407-695-3664",
            "fax_number": "407-695-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THELMA F. LYNCH, RN, PH.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "D.P.",
        "authorized_official_telephone_number": "407-695-3664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, PH.D., PA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54858",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.