Individual provider Active NPI

Lawrence Gerard Lyons, PHD

  • Psychologist
  • Anaheim, CA
National Provider Identifier
1699910281
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8848 Issued in CA
Practice address
1717 E Lincoln Ave
Anaheim, CA 92805-4345
Phone
(714) 635-2642
Fax
(714) 635-8547
NPI assigned
Dec 10, 2008
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8848 CA Primary

Addresses

Primary practice location

1717 E Lincoln Ave
Anaheim, CA 92805-4345

Mailing address

1950 E 17TH St Ste 200
Santa Ana, CA 92705-6852
Phone (714) 587-8094

Other practice location 1

3132 Tiger Run Ct Ste 103
Carlsbad, CA 92010-6650
Phone (442) 287-8031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8848CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogenix, Inc. Psychologist Current Accepting new patients

Locations

3132 Tiger Run Ct
Ste 103
Carlsbad, CA 92010
Phone (442) 287-8031

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1699910281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E 17TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056852",
            "telephone_number": "714-587-8094",
            "fax_number": "760-692-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054345",
            "telephone_number": "714-635-2642",
            "fax_number": "714-635-8547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3132 Tiger Run Ct Ste 103",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920106650",
            "country_code": "US",
            "telephone_number": "442-287-8031",
            "fax_number": "760-683-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LAWRENCE",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "8848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.