Lynette Vedrine Psy.D. LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LYNETTE VEDRINE PSY.D. LTD

Practice address

666 Dundee Rd Ste 1302
Northbrook, IL 60062-2736

Phone

(847) 400-5824

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lynette Ann Vedrine, PSY.D.

Title

President

Phone

(847) 400-5824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1255886891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1302",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622736",
            "telephone_number": "847-400-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1302",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622736",
            "telephone_number": "847-400-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNETTE VEDRINE PSY.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "VEDRINE",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-400-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjeev Lulla, MD
• Lisette Lumsden, D.D.S.
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• John T. Lybolt, CCC-SLP
• Fulani Lyons
• M Lakind LLC
• Michael Ma, PHARM.D.
• Yao Ma
• Ma Patricia Lourdes Macalino

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.