Lynn C Petras, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000001679 Issued in TN

Practice address

5701 Riley Rd
Ooltewah, TN 37363-6883

Phone

(423) 326-1258

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA, ND3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Psychologist

Education

Vanderbilt University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Key Rehabilitation IncGroup PAC ID 9638086432, shared by 9 NPIs, 59 clinicians

Inpatient Consultants of Georgia, IncGroup PAC ID 2264539618, 13 clinicians

Brownsville Medical Clinic, P.a.Group PAC ID 0547339772, 61 clinicians

BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• BH Services Southeast 1 PC

  • Nurse Practitioner
  • Brownsville, TN
  • NPI 1164251526
  Medicare reassignment Care Compare group NPD
• Ipc Pac Healthcare Services of Tennessee PC

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1104277656
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Georgia, Inc

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1659403970
  Medicare reassignment Care Compare group NPD
• Key Rehabilitation Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Hendersonville, TN
  • NPI 1528136249
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  GA, TN

  Medicare reassignment NPD
• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1679328975
  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TN

  Medicare reassignment
• Alternatives Counseling Associates

  • Public Health or Welfare Agency
  • Chattanooga, TN
  • NPI 1497779532
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1710059340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 RILEY RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636883",
            "telephone_number": "423-326-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 RILEY RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636883",
            "telephone_number": "423-326-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAS",
        "first_name": "LYNN",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikinbhai Patel
• Nisha Patel
• Vijaykumar P Patel, MD
• Robert Stokes Patterson, O.D.
• Peak Physical Therapy, LLC
• Sara Terry Petron
• Melissa Hardison Pettway, PT
• Julie D Pickell
• Caroline Kelly Pigford, DNP, AGACNP-BC, APRN
• Michael Stephen Pippin, MD

• Clinical Psychologist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.

Verify at the official NPI Registry.