Danielle Marie Lyden

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

003579 Issued in CT

Practice address

55 Walls Dr Ste 204
Fairfield, CT 06824-5163

Phone

(203) 255-3669

NPI assigned

Oct 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Marie Amato Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1336802370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALLS DR STE 204",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-255-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALLS DR STE 204",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-255-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDEN",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "003579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "AMATO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence Donald Ludwig, PH.D
• Linda Michlin Ludwig, PH.D
• Lupes Drug Store Inc (Lupes Drug Store of Fairfield)
• Jacob Michael Lurie, MD
• Cornelia Luzzi, LMFT
• Kelsey Taylor Lynn, APRN, FNP-C
• Corinne Kathleen Lyons, ATC
• Rui Ma
• Hallie Erin Macdonald, LCSW
• Daniel Jacob Machleder, MD

• Pediatric Occupational Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.