Active NPI
Kathleen Lyon, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1770849887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 185459
- Practice address
- 80 5TH Ave
Suite1005
New York, NY 10011-8002 - Phone
- (212) 366-3731
- NPI assigned
- Apr 3, 2012
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 185459 | NY | Primary |
Addresses
Primary practice location
80 5TH Ave
Suite1005
New York, NY 10011-8002
Mailing address
80 5TH Ave
Suite1005
New York, NY 10011-8002
Phone (212) 366-3731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 15, 2022 through Dec 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185459 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1770849887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 5TH AVE",
"address_2": "SUITE1005",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118002",
"telephone_number": "212-366-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 5TH AVE",
"address_2": "SUITE1005",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118002",
"telephone_number": "212-366-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "185459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.