Active NPI
Ariadne A Lyon, PHD
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1972327591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35473
- Practice address
- 1726 Fillmore St
San Francisco, CA 94115-3130 - Phone
- (415) 323-0287
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 35473 | CA | Primary |
Addresses
Primary practice location
1726 Fillmore St
San Francisco, CA 94115-3130
Mailing address
1395 Lyon St Apt 2
San Francisco, CA 94115-3333
Phone (323) 326-0083
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 |
|---|---|---|---|
| 35473 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1972327591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 LYON ST APT 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153333",
"telephone_number": "323-326-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153130",
"telephone_number": "415-323-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "ARIADNE",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "35473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.