WOOTEN LYONS LLC (NPI# 1366928665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366928665 |
| Entity Type | Organization |
| Organization Name | WOOTEN LYONS LLC |
| Practice Address |
10665 Stanhaven Place, Suite 300a White Plains MD 20695 |
| Mailing Address |
Po Box 415 White Plains MD 20695-0415 |
| Practice Telephone | 2405579626 |
| Mailing Telephone | 2405579626 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | BILLIE W LYONS (CRNP - OWNER) |
| Authorized Official Telephone | 2402169201 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
R109198 | MD | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
R109198 | MD | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
R109198 | MD | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R109198 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
10665 STANHAVEN PLACE, SUITE 300A |
| City | WHITE PLAINS |
| State | MD |
| Zip Code | 20695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590452 | Dominique Bouldin | Driver | 11136 Saint Christopher Drive, White Plains, MD 20695 | 2018-09-01 |
| 1962914507 | Kids By The Bay Dental LLC | Clinic/Center | 5010 Regency Place Ste 102, White Plains, MD 20695 | 2017-11-03 |
| 1528592896 | Darlena Austin | Social Worker | 5310 Exeter Place, White Plains, MD 20695 | 2017-04-13 |
| 1609307040 | Phylicia Wooten | Counselor | 5510 Regency Place Suite 203, White Plains, MD 20695 | 2017-03-27 |
| 1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
| 1457743122 | Raven Gray | Physical Therapy Assistant | 10708 Esprit Place, White Plains, MD 20695 | 2015-03-04 |
| 1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
| 1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
| 1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
| 1356571996 | Amanda M Sheehan | Physical Therapist | 4470 Regency Place, Suite 100, White Plains, MD 20695 | 2009-07-16 |
| Find all providers in zip 20695 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891002424 | Marc Laruelle | Psychiatry & Neurology | 311 North St Ste G3, White Plains, NY 10605-2217 | 2010-09-02 |
| 1629309711 | Birgit K. Elias | Psychiatry & Neurology | 7-11 South Broadway, Ste 318, White Plains, NY 10601 | 2010-01-29 |
| 1134357635 | Reed Cromwell Flaschen | Psychiatry & Neurology | 34 S Broadway Ste 711, White Plains, NY 10601-4427 | 2009-06-24 |
| 1518125707 | Stephanie Basilia Spanos | Psychiatry & Neurology | 21 Lake St Apt 3a, White Plains, NY 10603-3830 | 2008-05-25 |
| 1023287984 | Qamrun Abedin | Psychiatry & Neurology | 69 Greenvale Cir, White Plains, NY 10607-1601 | 2008-02-25 |
| 1144425208 | Nikole Sara Benders-hadi | Psychiatry & Neurology | 38 Hillcrest Ave, White Plains, NY 10607-1230 | 2007-06-19 |
| 1134341100 | Robert Andrew Bolgar | Psychiatry & Neurology | 300 Martine Avenue, Suite 2a, White Plains, NY 10601 | 2007-05-02 |
| 1780809517 | Mustaq A Siddique | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 102, White Plains, NY 10607-1908 | 2007-04-16 |
| 1902925068 | Samuel Boris Drassinower | Psychiatry & Neurology | 15 Lake St # Lb1, White Plains, NY 10603-3851 | 2007-03-28 |
| 1962520304 | Denise Szczucki | Psychiatry & Neurology | 333 Mamaroneck Ave # 204, White Plains, NY 10605-1440 | 2007-03-26 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 20695 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.