Individual provider Active NPI

Michelle Christine Lamb, PSY.D.

  • Psychologist
  • Danville, IN
National Provider Identifier
1427225531
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040991A Issued in IN
Practice address
202 Myers Rd
Danville, IN 46122-9702
Phone
(317) 718-8436
Fax
(317) 718-8438
NPI assigned
May 8, 2008
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 20040991A IN Primary

Addresses

Primary practice location

202 Myers Rd
Danville, IN 46122-9702

Mailing address

1795 Bentbrook Dr
Avon, IN 46123-8185
Phone (317) 837-8075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120111000160 IN Practitioner - Clinical Psychologist 1658548847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20040991AINMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1427225531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 BENTBROOK DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238185",
            "telephone_number": "317-837-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MYERS RD",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229702",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040991A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.