Lyn George McDonald, M.A.

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

License

15276 Issued in TX

Practice address

107 Crescent St
San Antonio, TX 78209-5219

Phone

(210) 846-3623

NPI assigned

Apr 29, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1982268595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRESCENT ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095219",
            "telephone_number": "210-846-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CRESCENT ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095219",
            "telephone_number": "210-846-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1846 Lockhill Selma Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131551",
            "country_code": "US",
            "telephone_number": "210-846-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LYN",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "15276",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "TX",
            "license": "15276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn McDonald
• John R McDonald, D.D.S
• Lisa Rene McDonald, DNP, APRN, CPNP
• Lisabeth McDonald, LCSW
• Louis P McDonald
• Margaret Blanch McDonald, RN
• Montana M McDonald
• Rose Ann McDonald, PSYD
• Scott McDonald
• Susan M McDonald, PNP

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.