Individual provider Active NPI

Shirley J Lanyi, PH.D.

  • Psychologist
  • La Mesa, CA
National Provider Identifier
1477660124
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY12078A Issued in CA
Practice address
4700 Spring St
Suite 204
La Mesa, CA 91941-5263
Phone
(858) 495-2533
Fax
(619) 589-6840
NPI assigned
Aug 25, 2006
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY12078A CA Primary

Addresses

Primary practice location

4700 Spring St
Suite 204
La Mesa, CA 91941-5263

Mailing address

4700 Spring St
Suite 204
La Mesa, CA 91941-5263
Phone (858) 495-2533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101011001044 CA Practitioner - Clinical Psychologist 4688866585 Practice locations: La Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8220 University Ave
Suite 202
La Mesa, CA 91942-5501
Phone (619) 665-5526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY12078ACAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1477660124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "SUITE 204",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415263",
            "telephone_number": "858-495-2533",
            "fax_number": "619-589-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "SUITE 204",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415263",
            "telephone_number": "858-495-2533",
            "fax_number": "619-589-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANYI",
        "first_name": "SHIRLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12078A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.