Organization Active NPI

Lemmon Psychological Services, LLC

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1881281624
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LEMMON PSYCHOLOGICAL SERVICES, LLC
Practice address
19 E Willamette Ave Ste a
Colorado Springs, CO 80903-4944
Phone
(719) 510-1844
Fax
(719) 434-9658
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Lydia Carla Lemmon, PSY.D.
Title
Owner
Phone
(719) 635-7638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

19 E Willamette Ave Ste a
Colorado Springs, CO 80903-4944

Mailing address

19 E Willamette Ave Ste a
Colorado Springs, CO 80903-4944
Phone (719) 510-1844

Other names 1

  • L. Carla Lemmon, Psy.D. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520000199 CO Part B Supplier - Clinic/Group Practice 0648683995 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

19 E Willamette Ave
Ste A
Colorado Springs, CO 80903
Phone (719) 510-1844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1881281624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E WILLAMETTE AVE STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034944",
            "telephone_number": "719-510-1844",
            "fax_number": "719-434-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E WILLAMETTE AVE STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034944",
            "telephone_number": "719-510-1844",
            "fax_number": "719-434-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMMON PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "LEMMON",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-635-7638",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L. Carla Lemmon, Psy.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.