Mark Lytle Associates a Psychology Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12089 Issued in CA

Legal business name

MARK LYTLE ASSOCIATES A PSYCHOLOGY CORPORATION

Practice address

3636 4TH Ave
#302
San Diego, CA 92103-4280

Phone

(858) 566-4748

Fax

(858) 566-4748

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark S Lytle, PSYDNPI 1801956198

Title

Owner

Phone

(858) 566-4748

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Mark S Lytle, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1801956198
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1679875520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11280 TRIBUNA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311929",
            "telephone_number": "858-566-4748",
            "fax_number": "858-566-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 4TH AVE",
            "address_2": "#302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034280",
            "telephone_number": "858-566-4748",
            "fax_number": "858-566-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LYTLE ASSOCIATES A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "LYTLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-566-4748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY120892",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Emerson, DDS, Apc
• Mark Evan Warlen
• Mark Heyman Psychologist Inc
• Mark J Riedler DDS PC
• Mark Lyman Magulac M.D., a Professional Corporation
• Mark Magulac MD a Professional Corporation
• Mark Mashike Chiropractic
• Mark Mashike Chiropractic
• Mark Olcott, M.D., Inc.
• Mark P. Stanton M.D. Inc.

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.