Lynette McKeon, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4059 Issued in NJ

Legal business name

LYNETTE MCKEON, PSY.D., LLC

Practice address

1 Springfield Ave Ste 2C
Summit, NJ 07901-4055

Phone

(908) 393-1533

Fax

(908) 393-1534

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Lynette McKeon, PSYDNPI 1477695674

Title

Neuropsychologist / Business Owner

Phone

(908) 393-1533

Specialties & licenses 2

Addresses

Other names 1

• New Jersey Brain Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Lynette McKeon, PSY.D.

  • Clinical Neuropsychologist
  • Summit, NJ
  • NPI 1477695674
  Medicare reassignment Care Compare group NPD Authorized official
• Albert Jason Sultan, PSY.D.

  • Psychologist
  • Martinsville, NJ
  • NPI 1902439987
  Medicare reassignment Care Compare group NPD
• Viviana G Litovsky, PH.D.

  • Clinical Psychologist
  • Martinsville, NJ
  • NPI 1043265960
  NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1710104864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPRINGFIELD AVE STE 2C",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014055",
            "telephone_number": "908-393-1533",
            "fax_number": "908-393-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRINGFIELD AVE STE 2C",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014055",
            "telephone_number": "908-393-1533",
            "fax_number": "908-393-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNETTE MCKEON, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MCKEON",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST / BUSINESS OWNER",
        "authorized_official_telephone_number": "908-393-1533",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "4059",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Brain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean-Louis Luther
• Anthony Richard Lutz, MSN, A-GNP-C
• Courtney Lynch, PHD
• John Lynch, LCSW
• Sharlette Lynch, MD
• Grace Macalalag, MSN, APN-C, CCRN
• Catherine Macowski
• Mirtha J Macri, D.O.
• Elizabeth Marie Magee, APN
• Margaret Ann Magovern, MD

• Clinical Psychologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.