Active NPI
Lyndsay Brooks, PSYD
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1154943462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38314
- Practice address
- 4110 Guadalupe St
Austin, TX 78751-4223 - Phone
- (512) 452-0381
- NPI assigned
- May 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30372 | CA | |
| Clinical Psychologist | 103TC0700X | 38314 | TX | Primary |
Addresses
Primary practice location
4110 Guadalupe St
Austin, TX 78751-4223
Mailing address
3507 N Lamar Blvd # 301528
Austin, TX 78705-1108
Phone (817) 966-9705
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38314 | TX | MD | Clinical Psychologist |
| 30372 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588982400000",
"number": "1154943462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 N LAMAR BLVD # 301528",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051108",
"telephone_number": "817-966-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 GUADALUPE ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514223",
"telephone_number": "512-452-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "LYNDSAY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-09",
"certification_date": "2020-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30372",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.