Cynthia Clark-Lyles, MA

Key facts

NPI

1649530494

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

IMF53625 (CA)

Practice address

3704 Hillcrest Dr
Los Angeles, CA 90016-5704

Phone

(323) 299-8554

NPI assigned

May 25, 2012

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 25, 2012.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1649530494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 HILLCREST DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165704",
            "telephone_number": "323-299-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 HILLCREST DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165704",
            "telephone_number": "323-299-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-LYLES",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF53625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

• Clark Community Development
• Clark Consulting and Physical Therapy Inc
• Varina Rene Clark Onwunyi, MD
• Maurisa Lorrene Clark-Hallums
• Stacy Clark-Huffman
• Abigail Clark
• Ahyana Clark
• Alicia Suzanne Clark, MPAP, PA-C
• Amara Candace Clark
• Andrew Clark, MD, PHD

All providers in Los Angeles, CA · Marriage & Family Therapist in California