Active NPI
Judith A. Lytel, PSY.D.
- Psychologist
- Sudbury, MA
National Provider Identifier
1992850200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7152
- Practice address
- 144 North Rd
Suite 2380
Sudbury, MA 01776-1156 - Phone
- (978) 273-1542
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7152 | MA | Primary |
Addresses
Primary practice location
144 North Rd
Suite 2380
Sudbury, MA 01776-1156
Mailing address
144 North Rd
Suite 2380
Sudbury, MA 01776-1156
Phone (978) 273-1542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170420002273 | MA | Order and Referring Only - Clinical Psychologist | 4981980224 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7152 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458432000000",
"number": "1992850200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 NORTH RD",
"address_2": "SUITE 2380",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761156",
"telephone_number": "978-273-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 NORTH RD",
"address_2": "SUITE 2380",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761156",
"telephone_number": "978-273-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYTEL",
"first_name": "JUDITH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2016-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.