Timothy Lyons, PSYD is a
Psychologist - Clinical based in Cameron Park, California. Timothy Lyons is licensed to practice in California (license number 34809) and his current practice location is
3749 Sudbury Rd, Cameron Park, California. He can be reached at his office (for appointments etc.) via phone at
(209) 418-4822.
NPI number for Timothy Lyons is 1235683954 and his current mailing address is Po Box 2284, Shingle Springs, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235683954.
Healthcare Provider's Profile
| Full Name | Timothy Lyons |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3749 Sudbury Rd, Cameron Park, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235683954
- Provider Enumeration Date: 08/10/2016
- Last Update Date: 01/22/2024
Medical Identifiers
Medical identifiers for Timothy Lyons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235683954 | NPI | - | NPPES |
| 1235683954 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 34809 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Lyons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Lyons, PSYD
Po Box 2284,
Shingle Springs, CA 95682-2284
Ph: (209) 418-4822 | Timothy Lyons, PSYD
3749 Sudbury Rd,
Cameron Park, CA 95682-8613
Ph: (209) 418-4822 |
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