Amanda Lyberg

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301018140 Issued in MI

Practice address

39319 Plymouth Rd
Livonia, MI 48150-1059

Phone

(313) 629-5796

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nicole Reynolds PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MI
  • NPI 1316306418
  NPD (past)
• Stephanie Williams, PHD, LP, PLLC

  dba Transcendence Behavioral Health

  • Clinical Psychologist
  • Ferndale, MI
  • NPI 1740512979
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1720638158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26283 WICK RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803039",
            "telephone_number": "313-629-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39319 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501059",
            "telephone_number": "313-629-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 E 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480671962",
            "country_code": "US",
            "telephone_number": "313-629-5796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYBERG",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Homes of Michigan, Inc. (Lutheran Home-Livonia)
• Steven Lux
• Luxottica of America Inc (Target Optical Q347)
• Luxottica of America Inc. (Lenscrafters #1040)
• Luxottica Retail North America Inc (Target Optical #4291)
• Amber Elise Lynch
• Jya Lynem
• Brian J Lyngaas, D.D.S.
• Katherine Lyons, DPM
• Richard Lyons Jr., B.A

• Psychologist in Livonia, MI
• Providers in Livonia, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.