Active NPI
Lynda C Reed, PHD
- Clinical Neuropsychologist
- Albany, CA
National Provider Identifier
1417080136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY12415
- Practice address
- 1035 San Pablo Ave Ste 8
Albany, CA 94706-2277 - Phone
- (510) 932-1750
- Fax
- (949) 757-2541
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY12415 | CA | |
| Clinical Neuropsychologist | 103G00000X | PSY12415 | CA | Primary |
Addresses
Primary practice location
1035 San Pablo Ave Ste 8
Albany, CA 94706-2277
Mailing address
1035 San Pablo Ave Ste 8
Albany, CA 94706-2277
Phone (510) 932-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12415 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417080136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 SAN PABLO AVE STE 8",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062277",
"telephone_number": "510-932-1750",
"fax_number": "888-706-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 SAN PABLO AVE STE 8",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062277",
"telephone_number": "510-932-1750",
"fax_number": "949-757-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "LYNDA",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12415",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY12415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.