Darrell Lynch, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

573 Issued in OK

Practice address

6205 W Gore Blvd
Lawton, OK 73505-5836

Phone

(580) 536-3900

Fax

(580) 357-8787

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1205993854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-536-3900",
            "fax_number": "580-357-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-536-3900",
            "fax_number": "580-357-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DARRELL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Beauford Lutz, DDS
• Phong Luu, D.O
• Karlisa Lyles
• Robyn M R Lyles, LMFT
• Lynch & Lynch, PC
• James Lynch, D.PH.
• Jana Lynch, PHD
• M Shawn Anderson RPH PC
• Vinicius Machado Jorge, M.D.
• Ancelma Machado

• Clinical Psychologist in Lawton, OK
• Providers in Lawton, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.