Active NPI
Lynne Lee Ehlers, PH.D.
- Clinical Psychologist
- Albany, CA
National Provider Identifier
1679760631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14734
- Practice address
- 1664 Solano Ave
Ste. 8
Albany, CA 94707-2118 - Phone
- (510) 388-7679
- NPI assigned
- Oct 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY14734 | CA | Primary |
Addresses
Primary practice location
1664 Solano Ave
Ste. 8
Albany, CA 94707-2118
Mailing address
1664 Solano Ave
Ste. 8
Albany, CA 94707-2118
Phone (510) 388-7679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091221000191 | CA | Practitioner - Psychologist Billing Independently | 3072653203 | Practice locations: San Francisco, CA; Albany, CA; Orinda, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14734 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1679760631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 SOLANO AVE",
"address_2": "STE. 8",
"city": "ALBANY",
"state": "CA",
"postal_code": "947072118",
"telephone_number": "510-388-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 SOLANO AVE",
"address_2": "STE. 8",
"city": "ALBANY",
"state": "CA",
"postal_code": "947072118",
"telephone_number": "510-388-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHLERS",
"first_name": "LYNNE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.