Lyn Shroyer, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

341 Issued in SD

Legal business name

LYN SHROYER, INC

Practice address

3710 S Kiwanis Ave
Sioux Falls, SD 57105-4232

Phone

(605) 373-9066

Fax

(605) 373-9145

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lyn Marie Shroyer, ED.DNPI 1992819122

Title

President

Phone

(605) 373-9066

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

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

• Lyn Marie Shroyer, EDD

  • Psychologist
  • Sioux Falls, SD
  • NPI 1992819122
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1235325580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 S KIWANIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054232",
            "telephone_number": "605-373-9066",
            "fax_number": "605-373-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 S KIWANIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054232",
            "telephone_number": "605-373-9066",
            "fax_number": "605-373-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYN SHROYER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SHROYER",
        "authorized_official_first_name": "LYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-373-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "SD",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE PLUS",
            "identifier": "106124",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLANS",
            "identifier": "2032",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6551012",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0040633",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0201057",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "7880",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLANS",
            "identifier": "22415",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "86725 & HP29927",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janette Therese Lyle
• John A Lyle, CRNA
• William J Lyle, CRNA
• Olivia Lyman, RBT
• Lymphedema Therapy Specialists
• Douglas William Lynch, M.D.
• Maabu Homecare LLC
• Angela Maag, RN - CNNP
• Ronda J. Maass, MA, LPC-MH,NCC, QMHP
• Lee Maitland Mabee Jr., MD

• Psychologist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.