Active NPI
Julia Barickman Lyons, PH.D.
- Clinical Psychologist
- Katonah, NY
National Provider Identifier
1548528946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017360-01
- Practice address
- 223 Katonah Ave
Suite E/F
Katonah, NY 10536-2146 - Phone
- (917) 647-1292
- NPI assigned
- Apr 24, 2012
- Last updated
- Apr 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017360-01 | NY | Primary |
| Clinical Psychologist | 103TC0700X | 002743 | CT |
Addresses
Primary practice location
223 Katonah Ave
Suite E/F
Katonah, NY 10536-2146
Mailing address
PO Box 371
South Salem, NY 10590-0371
Phone (917) 647-1292
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002743 | CT | MD | Clinical Psychologist |
| 017360-01 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1548528946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105900371",
"telephone_number": "917-647-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 KATONAH AVE",
"address_2": "SUITE E/F",
"city": "KATONAH",
"state": "NY",
"postal_code": "105362146",
"telephone_number": "917-647-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "JULIA",
"middle_name": "BARICKMAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017360-01",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "002743",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.