Sherill L Lym, RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

324 Lantana Ave
Englewood, NJ 07631-1510

Phone

(201) 788-9665

Fax

(201) 569-2433

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

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.

• Eden Group Counseling

  • In Home Supportive Care Agency
  • Englewood, NJ
  • NPI 1356701171
  NPD Authorized official
• Eden Group Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1720894371
  NPD Authorized official

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1871056481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LANTANA AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311510",
            "telephone_number": "201-788-9665",
            "fax_number": "201-569-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LANTANA AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311510",
            "telephone_number": "201-788-9665",
            "fax_number": "201-569-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYM",
        "first_name": "SHERILL",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0506486",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slym@edengroupnj.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "324 Lantana Ave",
            "city": "Englewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076311510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• LTF Associates, LLC
• Diane P Lubinski, APN-C
• Suzanne Lucido
• Allison Leigh Luther, PA-C
• Shayna Lym
• Lyncrest Consulting LLC
• Ophelia Macbain
• Matthew Macdonald
• David S. Macisaac, PH.D.
• Vyas Maddukuri, PHARM D.

• Mental Health Counselor in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.