Organization Active NPI

Lynn M. Bever LLC

  • Clinical Neuropsychologist
  • Blacksburg, VA
National Provider Identifier
1770714487
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810003961 Issued in VA
Legal business name
LYNN M. BEVER LLC
Practice address
610 N Main St Ste 259
Blacksburg, VA 24060-3311
Phone
(540) 239-0598
Fax
(540) 961-2694
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Dr. Lynn M. Bever, PH.D.NPI 1114173598
Title
President/Clinical Psychologist
Phone
(540) 239-0598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 0810003961 VA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810003961 VA

Addresses

Primary practice location

610 N Main St Ste 259
Blacksburg, VA 24060-3311

Mailing address

610 N Main St Ste 259
Blacksburg, VA 24060-3311
Phone (540) 239-0598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000410 VA Part B Supplier - Clinic/Group Practice 1254470446 Receives reassigned benefits from 1 practitioner
Practice locations: Blacksburg, VA

National Provider Directory

National Provider Directory

Locations

1501 Lark Ln
Blacksburg, VA 24060
Phone (540) 239-0595

610 N Main St
Ste 259
Blacksburg, VA 24060
Phone (540) 239-0598

610 N Main St
#259
Blacksburg, VA 24060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1770714487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST STE 259",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603311",
            "telephone_number": "540-239-0598",
            "fax_number": "540-961-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST STE 259",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603311",
            "telephone_number": "540-239-0598",
            "fax_number": "540-961-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M. BEVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "BEVER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "540-239-0598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810003961",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.