Active NPI
Carol L. Lynch, PSY.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1447594213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100261600
- Practice address
- 14 East 48TH St.
First Church of Religious Science
New York, NY 10017 - Phone
- (212) 688-0600
- NPI assigned
- Nov 19, 2012
- 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 | 35S100261600 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 009177-1 | NY |
Addresses
Primary practice location
14 East 48TH St.
First Church of Religious Science
New York, NY 10017
Mailing address
124 Frank Court
Mahwah, NC 07430
Phone (201) 891-2293
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100261600 | NJ | MD | Clinical Psychologist |
| 009177-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1447594213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 FRANK COURT",
"city": "MAHWAH",
"state": "NC",
"postal_code": "07430",
"telephone_number": "201-891-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 EAST 48TH ST.",
"address_2": "FIRST CHURCH OF RELIGIOUS SCIENCE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "212-688-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CAROL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100261600",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009177-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.