Peter B Lynch I, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002184 Issued in CT

Practice address

117 Lincoln St
Child Guidance Clinic
Meriden, CT 06451-3163

Phone

(203) 235-5767

Fax

(203) 238-2010

NPI assigned

Apr 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Connection Inc

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1235575408
  NPD (past)
• The Connection Inc.

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1992823538
  NPD (past)
• Town of East Haven

  dba East Haven Fire Department

  • Ambulance
  • East Haven, CT
  • NPI 1164651782
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467419309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SKYLARK DR",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "064721231",
            "telephone_number": "203-782-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LINCOLN ST",
            "address_2": "CHILD GUIDANCE CLINIC",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064513163",
            "telephone_number": "203-235-5767",
            "fax_number": "203-238-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "PETER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN/HMC",
            "identifier": "197088",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALU OPT",
            "identifier": "329553",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FAMILY PLAN",
            "identifier": "00308670000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEH, BCBS",
            "identifier": "140002184CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxe Beauty & Aesthetics LLC
• Luxottica of America Inc (Target Optical #Q738)
• Luxottica Retail North America Inc (Lenscrafters #00679)
• Luxottica Retail North America Inc (Target Optical #C4250)
• Maura Jo Lynch, SBD
• Rebekah Mabrey, APRN
• Mabri Convalescent Center, Inc. (Meriden Center)
• Nicole Maccaroni, CCC-SLP
• David Macey, LCSW
• Ryan Madden

• Clinical Social Worker in Meriden, CT
• Providers in Meriden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.