Lawrence J Lyon, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0539 Issued in NV

Practice address

8665 W Flamingo Rd
#2000
Las Vegas, NV 89147-8621

Phone

(702) 735-9755

Fax

(702) 367-9089

NPI assigned

Oct 2, 2006

Last updated

Jul 12, 2013By 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 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Willows Counseling Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1013279959
  NPD (past) Authorized official
• Associated Neuro & Psychological Specialties

  • Psychologist
  • Henderson, NV
  • NPI 1619042181
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1629161443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 W FLAMINGO RD",
            "address_2": "#2000",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478621",
            "telephone_number": "702-735-9755",
            "fax_number": "702-367-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 W FLAMINGO RD",
            "address_2": "#2000",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478621",
            "telephone_number": "702-735-9755",
            "fax_number": "702-367-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018379",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629161443",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sybil Lynn
• Lynnette Johnson LLC
• Davonte Lynton
• Emily Lyon, MD
• Kevin A. Lyon
• Wesley Warren Lyon, D.P.M.
• Lyons Home Care LLC
• Lyons Physical Therapy LLC
• Alexa Lyons
• Alexandra Lyons

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.