Organization Active NPI

Mary K. Lyndell, Psy.D., P. C.

  • Clinical Psychologist
  • Belton, MO
National Provider Identifier
1669622460
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01873 Issued in MO
Legal business name
MARY K. LYNDELL, PSY.D., P. C.
Practice address
210 E North Ave
Suite 101
Belton, MO 64012-9908
Phone
(816) 318-3537
Fax
(816) 318-3538
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Mary K. Lyndell, PSY.D.
Title
President/Psychologist
Phone
(816) 318-3537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 01873 MO Primary

Addresses

Primary practice location

210 E North Ave
Suite 101
Belton, MO 64012-9908

Mailing address

PO Box 365
Belton, MO 64012-0365
Phone (816) 318-3537

National Provider Directory

National Provider Directory

Locations

210 E North Ave
Ste 101
Belton, MO 64012
Phone (816) 318-3537

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1669622460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640120365",
            "telephone_number": "816-318-3537",
            "fax_number": "816-318-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E NORTH AVE",
            "address_2": "SUITE 101",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640129908",
            "telephone_number": "816-318-3537",
            "fax_number": "816-318-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K. LYNDELL, PSY.D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "LYNDELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "816-318-3537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "01873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.