Individual provider Active NPI

Lorena Beatriz Byrod, PPS CREDENTIAL IN CA

  • School Psychologist
  • Folsom, CA
National Provider Identifier
1831930312
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
200098437 Issued in CA
Practice address
200 Dulverton Cir
Folsom, CA 95630-6890
Phone
(661) 547-7937
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 200098437 CA Primary

Addresses

Primary practice location

200 Dulverton Cir
Folsom, CA 95630-6890

Mailing address

200 Dulverton Cir
Folsom, CA 95630-6890
Phone (661) 547-7937

Other names 1

  • Lorena Beatriz Gallo Former name

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

State licenses

LicenseStateTypeSpecialty
200098437CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1831930312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DULVERTON CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306890",
            "telephone_number": "661-547-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DULVERTON CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306890",
            "telephone_number": "661-547-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYROD",
        "first_name": "LORENA",
        "middle_name": "BEATRIZ",
        "credential": "PPS CREDENTIAL IN CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "200098437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORENA",
            "last_name": "GALLO",
            "middle_name": "BEATRIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.