Individual provider Active NPI

Lynne Lyons, MD

  • Psychiatry Physician
  • West Bloomfield, MI
National Provider Identifier
1780644880
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301066200 Issued in MI
Practice address
2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2184
Phone
(248) 859-2457
Fax
(248) 859-2473
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301066200 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2184
Phone (248) 859-2457

Other identifiers 1

IdentifierTypeStateIssuer
419361MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000446 MI Practitioner - Psychiatry 1850463704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abh CorporationGroup PAC ID 6406928332, 4 clinicians

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2192
Phone (248) 859-2457

40000 Grand River Ave
Suite 504
Novi, MI 48375-2176
Phone (248) 426-9900

51221 Schoenherr Rd
Suite 107
Shelby Township, MI 48315-2715
Phone (586) 360-7745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Psychiatric Center, PLLC Psychiatry CurrentSince Dec 1, 2013 Accepting new patients
Abh Corporation CurrentSince Jan 1, 2008 Accepting new patients
Rose Hill Center Inc Past Accepting new patients
Sacred Heart Medical Centre PC Past Accepting new patients
Rose Hill Center Inc PastSince Feb 23, 2020 Accepting new patients
Orchard Hills Psychiatric Center, PC Psychiatry Past Accepting new patients
Kamran F. Sheikh MD PC Past Accepting new patients

Locations

40000 Grand River Ave
Ste 504
Novi, MI 48375
Phone (248) 426-9900

40000 Grand River Ave
Ste 306
Novi, MI 48375
Phone (248) 426-9900

3950 S Rochester Rd
Ste 2250
Rochester Hills, MI 48307
Phone (248) 650-8383

2300 Haggerty Rd
Ste 2160
West Bloomfield, MI 48323
Phone (248) 539-0899

Interoperability endpoints

  • Direct secure messaging: lynne.lyons.1@18773.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1780644880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-859-2457",
            "fax_number": "248-859-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-859-2457",
            "fax_number": "248-859-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301066200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419361",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.