Individual provider Active NPI

Lynn R Capone, PSYD

  • Clinical Psychologist
  • Lima, OH
National Provider Identifier
1881675189
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5454 Issued in OH
Practice address
1045 Mackenzie Dr
Lima, OH 45805-1660
Phone
(419) 222-5672
Fax
(419) 222-6786
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5454 OH Primary

Addresses

Primary practice location

1045 Mackenzie Dr
Lima, OH 45805-1660

Mailing address

1045 Mackenzie Dr
Lima, OH 45805-1660
Phone (419) 222-5672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000786 OH Practitioner - Clinical Psychologist 3274709886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2875 W Elm St
Lima, OH 45805-2510
Phone (419) 979-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5454OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn R Capone PSYD LLC Clinical CurrentSince Nov 6, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2875 W Elm St
Lima, OH 45805
Phone (419) 222-5672

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1881675189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 MACKENZIE DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051660",
            "telephone_number": "419-222-5672",
            "fax_number": "419-222-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 MACKENZIE DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051660",
            "telephone_number": "419-222-5672",
            "fax_number": "419-222-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPONE",
        "first_name": "LYNN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.