David E Lyon, DO
Individual provider Active NPI Psychiatry Physician · Stanton, MI
NPI 1508832155 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1508832155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 5101014171 (MI)
- Practice address
- 611 N State St
Stanton, MI 48888-9702 - Phone
- (989) 584-3131
- Fax
- (989) 584-6734
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 34
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edward W Sparrow Hospital Association
Pine Rest Christian Mental Health Services
Community Mental Health for Central Michigan
Practice addresses (Care Compare)
1210 W Saginaw St
Lansing, MI 48915-1927
1210 W Saginaw St FL
Lansing, MI 48915-1927
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
301 S Crapo St
Mt Pleasant, MI 48858-2941
Phone (989) 772-5938
789 N Clare Ave
CMH for Central Michigan
Harrison, MI 48625-8250
Phone (989) 539-2141
Hospital & facility affiliations
- Mymichigan Medical Center Clare
- McLaren Central Michigan
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040305000904 | MI | Practitioner - Psychiatry | 4688562291 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Current |
Accepting new patients | |
| Community Mental Health for Central Michigan | Psychiatry | Current |
Accepting new patients |
| Pine Rest Christian Mental Health Services | Psychiatry | Current |
Accepting new patients |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Montcalm Care Network | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Psychiatry | Current |
Accepting new patients |
| Michigan State University Dept of Psychiatry | Psychiatry | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
102 S 3rd St
Ste 500
Carson City, MI 48811
Phone (989) 415-6314
102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1210 W Saginaw St
Fl 7
Lansing, MI 48915
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
301 S Crapo St
Ste 100
Mt Pleasant, MI 48858
Phone (989) 772-5938
301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938
611 N State St
Stanton, MI 48888
Phone (989) 831-7520
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5101014171 | MI | Yes |
Addresses
Primary practice location
611 N State St
Stanton, MI 48888-9702
Mailing address
611 N State St
Stanton, MI 48888-9702
Phone (989) 584-3131
Other providers in Stanton, MI
- Candace Long
- Jennifer Dawn Long
- Nieves Lopez
- Lori K Crossman, LMSW, LLC
- McKenzie Faith Lott
- Melissa Maclaren
- Tara Mager I
- Wendi Sue Magers
- Nathan Manczak
- Mackanna Manson
All providers in Stanton, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.