Individual provider Active NPI

Jane Knight Lanyon, PSYD

  • Clinical Psychologist
  • Birmingham, AL
National Provider Identifier
1447535729
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
614 Issued in AL
Practice address
1200 Corporate Dr
Suite 125
Birmingham, AL 35242-2941
Phone
(205) 329-7992
Fax
(205) 329-7999
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 614 AL Primary

Addresses

Primary practice location

1200 Corporate Dr
Suite 125
Birmingham, AL 35242-2941

Mailing address

2204 Lakeshore Dr
Suite 170
Birmingham, AL 35209-6729
Phone (205) 397-4783

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

State licenses

LicenseStateTypeSpecialty
614ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson and Associates PC Clinical PastSince Aug 1, 2008 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Organizations & group practices 2

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1447535729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR",
            "address_2": "SUITE 170",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096729",
            "telephone_number": "205-397-4783",
            "fax_number": "205-868-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "SUITE 125",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422941",
            "telephone_number": "205-329-7992",
            "fax_number": "205-329-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANYON",
        "first_name": "JANE",
        "middle_name": "KNIGHT",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.