Individual provider Active NPI

Lucas Cylke, PHD

  • Psychologist
  • Reno, NV
National Provider Identifier
1174196026
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY1028 Issued in NV
Practice address
443 W Plumb LN
Reno, NV 89509-3766
Phone
(775) 386-2758
Fax
(775) 201-0246
NPI assigned
Jul 20, 2021
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY1028 NV Primary

Addresses

Primary practice location

443 W Plumb LN
Reno, NV 89509-3766

Mailing address

443 W Plumb LN
Reno, NV 89509-3766
Phone (775) 386-2758

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
PY1028NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Cylke PHD PLLC Psychologist CurrentSince Sep 1, 2021 Accepting new patients

Locations

443 W Plumb Ln
Reno, NV 89509
Phone (775) 323-2255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1174196026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 W PLUMB LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093766",
            "telephone_number": "775-386-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 W PLUMB LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093766",
            "telephone_number": "775-386-2758",
            "fax_number": "775-201-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYLKE",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY1028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.