Active NPI
Lynn Starker Blyth, PH.D.
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1275547572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 888
- Practice address
- 1777 S Harrison St
Suite 840
Denver, CO 80210-3925 - Phone
- (303) 744-2121
- Fax
- (303) 777-5723
- NPI assigned
- Jul 29, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 888 | CO | Primary |
Addresses
Primary practice location
1777 S Harrison St
Suite 840
Denver, CO 80210-3925
Mailing address
1777 S Harrison St
Suite 840
Denver, CO 80210-3925
Phone (303) 744-2121
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
| License | State | Type | Specialty |
|---|---|---|---|
| 888 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275547572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 S HARRISON ST",
"address_2": "SUITE 840",
"city": "DENVER",
"state": "CO",
"postal_code": "802103925",
"telephone_number": "303-744-2121",
"fax_number": "303-777-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 S HARRISON ST",
"address_2": "SUITE 840",
"city": "DENVER",
"state": "CO",
"postal_code": "802103925",
"telephone_number": "303-744-2121",
"fax_number": "303-777-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYTH",
"first_name": "LYNN",
"middle_name": "STARKER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
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.