Active NPI
Richard Alan Lytle, PH.D.
- Clinical Psychologist
- State College, PA
National Provider Identifier
1821095274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-006279-L
- Practice address
- 444 E College Ave
Ste 310
State College, PA 16801-5558 - Phone
- (814) 238-6380
- Fax
- (814) 238-5923
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS-006279-L | PA | Primary |
Addresses
Primary practice location
444 E College Ave
Ste 310
State College, PA 16801-5558
Mailing address
444 E College Ave
Suite 310
State College, PA 16801-5558
Phone (814) 238-6380
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1821095274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 E COLLEGE AVE",
"address_2": "SUITE 310",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168015558",
"telephone_number": "814-238-6380",
"fax_number": "814-238-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 E COLLEGE AVE",
"address_2": "STE 310",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168015558",
"telephone_number": "814-238-6380",
"fax_number": "814-238-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYTLE",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-006279-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.