Meredith L Lyon PHD Psychology PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017869 Issued in NY

Legal business name

MEREDITH L LYON PHD PSYCHOLOGY PLLC

Practice address

732 Madison Ave
Albany, NY 12208-3302

Phone

(518) 915-1946

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Meredith L Lyon, PHD

Title

Sole Member

Phone

(518) 915-1946

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• James Andrew Peterson, LCSW-R

  • Clinical Social Worker
  • Albany, NY
  • NPI 1639296072
  NPD (past)
• Alex L. Pieterse, PHD

  • Psychologist
  • Albany, NY
  • NPI 1760799217
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1174923031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5453",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122050453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083302",
            "telephone_number": "518-915-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH L LYON PHD PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "518-915-1946",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene B Mercuri
• Mercy Meditrans Taxi
• Omar Merdan, MD
• Dominique Mereday, OTR
• Jacqueline Elaine Mereday, P.A.
• Elisa Briavael Meredith, LCSW
• Kristina Mary Merges, LPN
• Harout Edward Mergian, D.C.
• Josue Ricardo Merida, MD
• Chelsea Anne Mero, RPA-C

• Clinical Psychologist in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.