Marta Guen Lynch, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2011019096 Issued in MO

Practice address

800 Hospital Dr
Columbia, MO 65201

Phone

(573) 814-6631

Fax

(573) 814-6267

NPI assigned

Sep 26, 2011

Last updated

Jul 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marta Fliss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Audrain Health Care, Inc

  dba Audrain Medical Center

  • Land Ambulance
  • Mexico, MO
  • NPI 1811030851
  NPD (past)
• SSM Audrain Health Care, Inc

  dba SSM Health St. Mary's Hospital-Audrain

  • General Acute Care Hospital
  • Mexico, MO
  • NPI 1841334836
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1326321381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015275",
            "telephone_number": "573-814-6631",
            "fax_number": "573-814-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-814-6631",
            "fax_number": "573-814-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "65201",
            "country_code": "US",
            "telephone_number": "573-814-6631",
            "fax_number": "573-814-6267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MARTA",
        "middle_name": "GUEN",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2011019096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134125552",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "FLISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lyle G. Breeding, MD, Facs, PC
• Shelley Ann Lyle, DDS
• Abigail Lynch, NP-C
• Ian Thomas Lynch
• Jay Lynch, COTA
• Christina Eileen Lynn, R.PH.
• Ashley Lyon, DPT
• Molly Jeanette Lyons-Sword, NCC, LPC
• Laura Lyons
• Victoria G Lyskowski

• Clinical Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.