Individual provider Active NPI

Suzanne Barbara Haas-Lyon, PH.D.

  • Psychologist
  • Albany, CA
National Provider Identifier
1427172477
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14994 Issued in CA
Practice address
1664 Solano Ave
Albany, CA 94707-2118
Phone
(510) 525-4087
Fax
(510) 526-0441
NPI assigned
Mar 16, 2007
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14994 CA Primary

Addresses

Primary practice location

1664 Solano Ave
Albany, CA 94707-2118

Mailing address

1664 Solano Ave
Albany, CA 94707-2118
Phone (510) 525-4087

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

LicenseStateTypeSpecialty
PSY14994CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1427172477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947072118",
            "telephone_number": "510-525-4087",
            "fax_number": "510-526-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947072118",
            "telephone_number": "510-525-4087",
            "fax_number": "510-526-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS-LYON",
        "first_name": "SUZANNE",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14994",
            "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 Feb 1, 2012; 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.