Dr. Lyz, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. LYZ, LLC

Practice address

15 E. Walnut St.
Nazareth, PA 18064-2708

Phone

(610) 365-5042

Fax

(610) 365-5044

NPI assigned

Oct 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Deboer Kreider, PH.DNPI 1154701639

Title

Owner/Psychologist

Phone

(610) 365-5042

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Rachel Deboer Kreider, PH.D.

  • Clinical Psychologist
  • Nazareth, PA
  • NPI 1154701639

  Clinical, PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1659848752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E. WALNUT ST.",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642708",
            "telephone_number": "610-365-5042",
            "fax_number": "610-365-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E. WALNUT ST.",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642708",
            "telephone_number": "610-365-5042",
            "fax_number": "610-365-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LYZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "DEBOER KREIDER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-365-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PSYCHOLOGY",
            "identifier": "PS017673",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blaise Michael Delfino, M.S.-HIS
• Cheryl Ann Delfino, B.A.-HIS
• Lauren Dennelly
• Mary Monica Dilger, DMD
• Sarah Katherine Dinan, MS, NCC, LPC
• Vicki Drake, CCC-SLP
• Lisa J Drakes, PTA
• Thaddeus Dziedzic, PTA
• Easton Neuropyschological and Behavioral Services LLC
• Heather J Edwards, DPM

• All providers in Nazareth, PA
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.