Active NPI
Lya Chapman
- Clinical Psychologist
- Santa Rosa, CA
National Provider Identifier
1689744658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27368
- Practice address
- 1330 N Dutton Ave
Ste 101
Santa Rosa, CA 95401-4646 - Phone
- (707) 327-2811
- Fax
- (844) 308-5854
- NPI assigned
- Nov 8, 2006
- 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 | 27368 | CA | Primary |
Addresses
Primary practice location
1330 N Dutton Ave
Ste 101
Santa Rosa, CA 95401-4646
Mailing address
1330 N Dutton Ave
Ste 101
Santa Rosa, CA 95401-4646
Phone (707) 327-2811
Other names 1
- Lya Marie Lithgow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813009309 | CA | Practitioner - Clinical Psychologist | 7315252830 | Practice locations: Chico, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
35 Heritage LN
Suite 4
Chico, CA 95926-1313
Phone (707) 934-0734
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27368 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1689744658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 N DUTTON AVE",
"address_2": "STE 101",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014646",
"telephone_number": "707-327-2811",
"fax_number": "844-308-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 N DUTTON AVE",
"address_2": "STE 101",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014646",
"telephone_number": "707-327-2811",
"fax_number": "844-308-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "LYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYA",
"last_name": "LITHGOW",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.