Active NPI
Lynda Jacqueline Katz, PH.D.
- Clinical Neuropsychologist
- Durham, NC
National Provider Identifier
1770630949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 747
- Practice address
- 3916 Westchester Rd
Durham, NC 27707-5067 - Phone
- (919) 419-9399
- Fax
- (919) 419-9399
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | 747 | NH | Primary |
Addresses
Primary practice location
3916 Westchester Rd
Durham, NC 27707-5067
Mailing address
3916 Westchester Rd
Durham, NC 27707-5067
Phone (919) 419-9399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30009727 | Medicaid | NH |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 747 | NH | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1770630949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 WESTCHESTER RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075067",
"telephone_number": "919-419-9399",
"fax_number": "919-419-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 WESTCHESTER RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075067",
"telephone_number": "919-419-9399",
"fax_number": "919-419-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "LYNDA",
"middle_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NH",
"license": "747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009727",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.