Active NPI
Lynda M Bjornson, PHD
- Clinical Neuropsychologist
- Garden Grove, CA
National Provider Identifier
1518088103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 15529
- Practice address
- 12443 Lewis St
Suite 101
Garden Grove, CA 92840-4650 - Phone
- (714) 971-8103
- Fax
- (714) 971-0481
- NPI assigned
- Apr 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 15529 | CA | Primary |
Addresses
Primary practice location
12443 Lewis St
Suite 101
Garden Grove, CA 92840-4650
Mailing address
12443 Lewis St
Suite 101
Garden Grove, CA 92840-4650
Phone (714) 971-8103
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15529 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1518088103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12443 LEWIS ST",
"address_2": "SUITE 101",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404650",
"telephone_number": "714-971-8103",
"fax_number": "714-971-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12443 LEWIS ST",
"address_2": "SUITE 101",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404650",
"telephone_number": "714-971-8103",
"fax_number": "714-971-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORNSON",
"first_name": "LYNDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "15529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.