Lynn Roberts, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2608 Issued in CT

Practice address

30 Lafayette SQ Ste 1B
Vernon, CT 06066-4554

Phone

(860) 869-3246

Fax

(860) 871-4917

NPI assigned

Feb 10, 2007

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356482327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 RIDGEBROOK DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073334",
            "telephone_number": "860-869-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAFAYETTE SQ STE 1B",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664554",
            "telephone_number": "860-869-3246",
            "fax_number": "860-871-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "2608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "221160",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "060002608CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "198353",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D. Fischer MD LLC
• Enza Rinaldi
• Meghan Elizabeth Robbins, MD
• Robert a. Kiel, D.M.D., LLC
• Robert J. Gange, DDS,Ms,LLC
• Margaret Mary Roberts, PTA
• Laurel J Robertson
• Paula C Rocha, APRN
• Richard Russell Rock, OD
• Rockville General Hospital, Inc

• Clinical Psychologist in Vernon, CT
• Providers in Vernon, CT by specialty
• Clinical Psychologist in Connecticut

• 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.

Verify at the official NPI Registry.