Individual provider Active NPI

Marguery Amelie Lyvers, PH.D.

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1790092609
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25499 Issued in CA
Practice address
960 E Green St Ste L-02
Pasadena, CA 91106-2401
Phone
(626) 486-2695
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25499 CA Primary

Addresses

Primary practice location

960 E Green St Ste L-02
Pasadena, CA 91106-2401

Mailing address

960 E Green St Ste L-02
Pasadena, CA 91106-2401
Phone (626) 486-2695

Other practice location 1

2233 Huntington Dr
Suite 2
San Marino, CA 91108-2655
Phone (626) 568-8558

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

LicenseStateTypeSpecialty
PSY25499CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyvers & Associates, Psychological Services, Inc. Clinical CurrentSince Feb 14, 2021 Accepting new patients

Locations

960 E Green St
Ste L-02
Pasadena, CA 91106
Phone (626) 486-2695

Organizations & group practices 1

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1790092609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE L-02",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-486-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE L-02",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-486-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 Huntington Dr",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "San Marino",
            "state": "CA",
            "postal_code": "911082655",
            "country_code": "US",
            "telephone_number": "626-568-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYVERS",
        "first_name": "MARGUERY",
        "middle_name": "AMELIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.