Active NPI
Robert Lyons, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1699545632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34535
- Practice address
- 2535 Camino del Rio S Ste 145
San Diego, CA 92108-3762 - Phone
- (619) 268-1064
- NPI assigned
- Jan 2, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 34535 | CA | Primary |
Addresses
Primary practice location
2535 Camino del Rio S Ste 145
San Diego, CA 92108-3762
Mailing address
2535 Camino del Rio S Ste 145
San Diego, CA 92108-3762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 18, 2024 through Jun 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1699545632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 CAMINO DEL RIO S STE 145",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 CAMINO DEL RIO S STE 145",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083762",
"telephone_number": "619-268-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "ROBERT",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-02",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.