Active NPI
Lynda Anne Szymanski, PH.D.
- Clinical Psychologist
- Red Wing, MN
National Provider Identifier
1962701375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4689
- Practice address
- 2835 S Service Dr
Suite 203
Red Wing, MN 55066-1882 - Phone
- (651) 388-0051
- Fax
- (351) 388-0054
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4689 | MN | Primary |
Addresses
Primary practice location
2835 S Service Dr
Suite 203
Red Wing, MN 55066-1882
Mailing address
2835 S Service Dr
Suite 203
Red Wing, MN 55066-1882
Phone (651) 388-0051
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 |
|---|---|---|---|
| LP4689 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Behavioral Health Services, PA | Clinical | Past | Accepting new patients |
| Comprehensive Behavioral Health Services | Past | Accepting new patients |
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.
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- NPI 1912387184
-
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- Raleigh, NC
- NPI 1346376282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1962701375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 S SERVICE DR",
"address_2": "SUITE 203",
"city": "RED WING",
"state": "MN",
"postal_code": "550661882",
"telephone_number": "651-388-0051",
"fax_number": "351-388-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 S SERVICE DR",
"address_2": "SUITE 203",
"city": "RED WING",
"state": "MN",
"postal_code": "550661882",
"telephone_number": "651-388-0051",
"fax_number": "351-388-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMANSKI",
"first_name": "LYNDA",
"middle_name": "ANNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Wing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.