Wooten Lyons LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R109198 Issued in MD

Legal business name

WOOTEN LYONS LLC

Practice address

10665 Stanhaven Place, Suite 300a
White Plains, MD 20695

Phone

(240) 557-9626

NPI assigned

Jul 19, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Billie W Lyons, PMHNP

Title

CRNP - Owner

Phone

(240) 216-9201

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1366928665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206950415",
            "telephone_number": "240-557-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PLACE, SUITE 300A",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20695",
            "telephone_number": "240-557-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOTEN LYONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CRNP - OWNER",
        "authorized_official_telephone_number": "240-216-9201",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MD",
            "license": "R109198",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R109198",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "R109198",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "R109198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wilcher, PHARMD
• Gladys Ann Wilkins, PA-C
• Andrea Michelle Williams, PSYD
• Ryleigh Elaine Wilson, PTA
• Mary Winkler
• Phylicia Wooten, LCPC
• Huijing Yang
• Calondra Young
• Your Nu Image LLC

• Psychiatry Physician in White Plains, MD
• Providers in White Plains, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.