Active NPI
Marilyn T Lyga, PH.D.
- Psychologist
- Basking Ridge, NJ
National Provider Identifier
1265449862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2061
- Practice address
- 105 Madisonville Rd
Basking Ridge, NJ 07920-1665 - Phone
- (908) 766-6836
- NPI assigned
- Aug 3, 2006
- Last updated
- Dec 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2061 | NJ | Primary |
Addresses
Primary practice location
105 Madisonville Rd
Basking Ridge, NJ 07920-1665
Mailing address
105 Madisonville Rd
Basking Ridge, NJ 07920-1665
Phone (908) 766-6836
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0519219000 | Other | NJ | AMERIHEALTH PPO PIN # |
| 060002061NJ01 | Other | NJ | ANTHEM HEALTH PIN # |
| 132379000 | Other | NJ | MAGELLAN PROVIDER # |
| 4564859 | Other | NJ | AETNA PIN# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602000874 | NJ | Practitioner - Clinical Psychologist | 6709829518 | Practice locations: Basking Ridge, NJ; Princeton, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
105 Old Madisonville Rd
Basking Ridge, NJ 07920-1665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2061 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1265449862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MADISONVILLE RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201665",
"telephone_number": "908-766-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MADISONVILLE RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201665",
"telephone_number": "908-766-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYGA",
"first_name": "MARILYN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "2061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO PIN #",
"identifier": "0519219000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH PIN #",
"identifier": "060002061NJ01",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVIDER #",
"identifier": "132379000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN#",
"identifier": "4564859",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.