Timothy Richard Lynch

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1722 Issued in KS

Practice address

Naval Hospital, Camp Pendleton BLDG H100
Attention: Code 094
Camp Pendleton, CA 92055-5191

Phone

(210) 496-8050

Fax

(210) 496-8970

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tim Richard Lynch Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Julia Evans PHD Psychology PCGroup PAC ID 0446510309, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  Medicare reassignment Care Compare group NPD
• Julia Evans PHD Psychology PC

  dba Brain Wellness Institute

  • Clinical Psychologist
  • Costa Mesa, CA
  • NPI 1861902280
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1174792097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 PASEO EL SIENA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774500",
            "telephone_number": "949-481-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL, CAMP PENDLETON BLDG H100",
            "address_2": "ATTENTION: CODE 094",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "210-496-8050",
            "fax_number": "210-496-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "TIMOTHY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "LYNCH",
            "middle_name": "RICHARD",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Lucero, MD
• Paul Michael Lutter, DMSC, PA-C
• Gerald Lutz, DDS
• John F Lynch
• Patrick Lynch, DMD
• Michael P Lynn, CRNA
• Jordan Whitney Lyons
• Margaret Macclary, D.O.
• Maxwell Philip Machado
• Jeremy Lindsey Maddox, IDC

• Clinical Psychologist in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.