Active NPI
Donna F Lyder, PMH, CNS-BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Brookline, MA
National Provider Identifier
1861617151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN217927
- Practice address
- 131 Harvard St
Brookline, MA 02446-6429 - Phone
- (617) 232-4570
- Fax
- (617) 232-4585
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 217927 | MA | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN217927 | MA | Primary |
Addresses
Primary practice location
131 Harvard St
Brookline, MA 02446-6429
Mailing address
131 Harvard St
Brookline, MA 02446-6429
Phone (617) 232-4570
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217927 | MA | MD | Psychiatric/Mental Health Registered Nurse |
| RN217927 | MA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Psychiatric Services, PC | Past | Accepting new patients | |
| Tender Loving Care Health Care Services of New England, L.L.C. | Past | Accepting new patients | |
| Neurobehavioral Associates III, Inc | Psychiatric/Mental Health, Adult | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Geriatric Psychiatry Physician
- Weymouth, MA
- NPI 1205926946
Psychiatric/Mental Health, Adult
-
- Community/Behavioral Health Agency
- Quincy, MA
- NPI 1881782522
-
- Home Health Agency
- Marlborough, MA
- NPI 1154446128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1861617151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 HARVARD ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466429",
"telephone_number": "617-232-4570",
"fax_number": "617-232-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 HARVARD ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466429",
"telephone_number": "617-232-4570",
"fax_number": "617-232-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDER",
"first_name": "DONNA",
"middle_name": "F",
"credential": "PMH, CNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "217927",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "RN217927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.