Lyn P. Carpenter, PH.D., PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2640 Issued in NC

Legal business name

LYN P. CARPENTER, PH.D., PLLC

Practice address

121 Reynolda VLG
Suite C
Winston Salem, NC 27106-5126

Phone

(336) 293-4087

Fax

(336) 293-7956

NPI assigned

Jun 30, 2012

Organization subpart

No

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

Authorized official

Name

Lindalyn Parkerson Carpenter, PH.D.

Title

Registered Agent/Member

Phone

(336) 293-4087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341014400000",
    "number": "1801150263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 REYNOLDA VLG",
            "address_2": "SUITE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065126",
            "telephone_number": "336-293-4087",
            "fax_number": "336-293-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 REYNOLDA VLG",
            "address_2": "SUITE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065126",
            "telephone_number": "336-293-4087",
            "fax_number": "336-293-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYN P. CARPENTER, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-30",
        "last_updated": "2012-06-30",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LINDALYN",
        "authorized_official_middle_name": "PARKERSON",
        "authorized_official_title_or_position": "REGISTERED AGENT/MEMBER",
        "authorized_official_telephone_number": "336-293-4087",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "2640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Susan Lyerly, PA-C
• Mark Andrew Lyerly, MD
• Lyfes New Direction
• Earl Jr Lyles
• Mary Fennell Lyles, MD
• Ashley Lynch
• Dennis John Lynch, PH.D.
• Kyle Anthony Lynch, MD
• Lindsay Jean Lynch, MD
• Mary Alice Lynch, NP

• Clinical Child & Adolescent Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Child & Adolescent Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2012; 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.