John T Lloyd, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00000611 Issued in WA

Practice address

777 N 5TH Ave
Sequim, WA 98382-3080

Phone

(360) 582-2644

Fax

(360) 582-2677

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1518159516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 TOWNSHIP LINE RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627438",
            "telephone_number": "360-681-6088",
            "fax_number": "360-681-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823080",
            "telephone_number": "360-582-2644",
            "fax_number": "360-582-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY00000611",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000611",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "WA",
            "license": "PY00000611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7257603",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP OF WA STATE",
            "identifier": "38066",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Diane Lindgren, PHARMD
• Shannon A Lindstrand, LMP
• Timothy A Lipski, MD
• Nicole Lynn Livengood, LMT
• Ethan Perry Livermont, DDS
• Lodge Chiropractic
• Donna Lodge, D.C.
• Valerie B Lodge, FNP
• David Lopez, PT, DPT
• Loraine Lovejoy-Evans, MPT, DPT

• Clinical Psychologist in Sequim, WA
• Providers in Sequim, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.