Individual provider Active NPI

Lynn Marie Helder, PH.D

  • Psychologist
  • Saint Augustine, FL
National Provider Identifier
1245306950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4997 Issued in FL
Practice address
2120 US 1 South
Saint Augustine, FL 32086
Phone
(904) 794-2007
Fax
(904) 794-2033
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY4997 FL Primary

Addresses

Primary practice location

2120 US 1 South
Saint Augustine, FL 32086

Mailing address

2120 US 1 South
Saint Augustine, FL 32086
Phone (904) 794-2007

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY4997FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry V, Risch, PH.D,. P.a. Psychologist Past Accepting new patients
Neurology Care Inc PastSince Oct 1, 2000 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245306950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 US 1 SOUTH",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-794-2007",
            "fax_number": "904-794-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 US 1 SOUTH",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-794-2007",
            "fax_number": "904-794-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDER",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.