Active NPI
David Russell Lyman, PHD
- Psychologist
- Cambridge, MA
National Provider Identifier
1891989364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4240
- Practice address
- 5 Sacramento St
Guidance Center Inc
Cambridge, MA 02138 - Phone
- (617) 354-2275
- Fax
- (617) 547-4355
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4240 | MA | Primary |
Addresses
Primary practice location
5 Sacramento St
Guidance Center Inc
Cambridge, MA 02138
Mailing address
65 Gay St
Needham, MA 02492
Phone (781) 449-2898
Other names 1
- D Russell Lyman
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4240 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1891989364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 GAY ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "02492",
"telephone_number": "781-449-2898",
"fax_number": "781-449-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SACRAMENTO ST",
"address_2": "GUIDANCE CENTER INC",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138",
"telephone_number": "617-354-2275",
"fax_number": "617-547-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYMAN",
"first_name": "DAVID",
"middle_name": "RUSSELL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "D",
"last_name": "LYMAN",
"middle_name": "RUSSELL",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.