Individual provider Active NPI

Lynn P Hyland, PHD

  • Psychologist
  • Portage, WI
National Provider Identifier
1407048564
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2335-057 Issued in WI
Practice address
2901 Hunters TRL
Portage, WI 53901-3403
Phone
(608) 742-5518
Fax
(608) 742-4087
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2335-057 WI
Psychologist 103T00000X 2335-057 WI Primary

Addresses

Primary practice location

2901 Hunters TRL
Portage, WI 53901-3403

Mailing address

2901 Hunters TRL
Portage, WI 53901-3403
Phone (608) 742-5518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000118 WI Practitioner - Clinical Psychologist 4789777673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Insight Counseling and Wellness LLCGroup PAC ID 6608264742, 12 clinicians

Practice addresses (Care Compare)

1943 Winnebago St
Madison, WI 53704-5314
Phone (608) 244-4859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2335-057WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling & Wellness, LLC CurrentSince Sep 13, 2021 Accepting new patients

Locations

2021 Atwood Ave
Madison, WI 53704
Phone (608) 244-4859

1943 Winnebago St
Madison, WI 53704
Phone (608) 244-4859

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1407048564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 HUNTERS TRL",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013403",
            "telephone_number": "608-742-5518",
            "fax_number": "608-742-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HUNTERS TRL",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013403",
            "telephone_number": "608-742-5518",
            "fax_number": "608-742-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLAND",
        "first_name": "LYNN",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2335-057",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2335-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

Verify at the official NPI Registry.