DR. EDWARD PATRICK LYNAM (NPI# 1447295019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447295019 |
Entity Type | Individual |
Full Name | DR. EDWARD PATRICK LYNAM |
Credential | M.D. |
Practice Address |
1101 W Moana Ln Suite 2 Reno NV 89509-4775 |
Mailing Address |
608 S Division Ave Sandpoint ID 83864-1749 |
Practice Telephone | 7753372394 |
Practice Fax Number | 7753379570 |
Mailing Telephone | 2082658195 |
Mailing Fax Number | 2082658327 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2012-09-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
11754 | NV | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
11754 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 100509087 | 05 |
Street Address |
1101 W MOANA LN SUITE 2 |
City | RENO |
State | NV |
Zip Code | 89509-4775 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780201061 | Victoria Jasmine Yeghiayan | Behavior Technician | 1101 W Moana Ln, Reno, NV 89509-4775 | 2020-07-02 |
1336703404 | Noelle Christine Martinez | Student in an Organized Health Care Education/Training Program | 1101 W Moana Ln, Reno, NV 89509-4775 | 2019-04-24 |
1346789336 | John Malcolm | Counselor | 1101 W Moana Ln, Reno, NV 89509-4775 | 2017-02-23 |
1801334255 | Sequel Alliance Family Services, LLC | Community/Behavioral Health | 1101 W Moana Ln, Suite 2, Reno, NV 89509-4775 | 2017-02-06 |
1164965661 | Charlotte Ebner | Behavioral Analyst | 1101 W Moana Ln, Reno, NV 89509-4775 | 2016-12-01 |
1073065116 | Lennyn Segura | Counselor | 1101 W Moana Ln, Reno, NV 89509-4775 | 2016-10-25 |
1982153557 | Kimberly Hoole | Marriage & Family Therapist | 1101 W Moana Ln, Reno, NV 89509-4775 | 2016-09-23 |
1316495658 | Emily Ruff | Counselor | 1101 W Moana Ln, Reno, NV 89509-4775 | 2016-09-15 |
1629427158 | Dhalia Trujillo-silva | Counselor | 1101 W Moana Ln, Reno, NV 89509-4775 | 2016-06-06 |
1497111298 | Carrie Lafinier | Behavioral Analyst | 1101 W Moana Ln, Suite 2, Reno, NV 89509-4775 | 2016-01-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265774921 | Amanda Lauren Melone | Psychiatry & Neurology | 2900 Sandestin Dr, Reno, NV 89523-2137 | 2013-03-20 |
1598860306 | Arden D Dingle | Psychiatry & Neurology | 5190 Neil Rd Ste 215, Reno, NV 89502-6509 | 2006-09-14 |
1902369093 | Goyal Psychiatry LLC | Psychiatry & Neurology | 1240 E 9th St, Reno, NV 89512-2964 | 2019-04-08 |
1497226823 | Community Care Services LLC | Psychiatry & Neurology | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2018-12-11 |
1134590375 | University of Nevada School of Medicine Multi-specialty Group Practice | Psychiatry & Neurology | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2015-10-14 |
1831458173 | Joshua B Fitzgerald | Psychiatry & Neurology | 5190 Neil Rd Ste 215, Reno, NV 89502-6509 | 2012-05-07 |
1629368279 | Katherine Suzanne Thomas | Psychiatry & Neurology | 401 W 2nd St, Reno, NV 89503-5345 | 2011-04-17 |
1851442263 | Henry K. Watanabe | Psychiatry & Neurology | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2007-01-13 |
1649340985 | Larry Jay Nussbaum | Psychiatry & Neurology | 5190 Neil Rd, 215, Reno, NV 89502-6599 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
1720472327 | Fernando Mendez | Psychiatry & Neurology | 2021 S. Jones Blvd, Las Vegas, NV 89146 | 2015-03-23 |
1063760411 | Uzoma C Osuchukwu | Psychiatry & Neurology | 4310 W Cheyenne Ave Ste 100, N Las Vegas, NV 89032-2484 | 2012-08-16 |
1043424443 | Rico Fontillas Inc | Psychiatry & Neurology | 1090 Wigwam Parkway, #100, Henderson, NV 89074 | 2007-05-09 |
1447359955 | Lisa Ann Durette | Psychiatry & Neurology | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2006-09-21 |
1255342069 | Joan Rueter Carapucci | Psychiatry & Neurology | 2775 S. Jones Blvd, Suite 101, Las Vegas, NV 89146 | 2006-08-10 |
1457303828 | Ann Childress | Psychiatry & Neurology | 4000 E. Charleston Blvd., B-130, Las Vegas, NV 89104 | 2006-05-16 |
1083239925 | Physicians of America | Psychiatry & Neurology | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2020-06-16 |
1659900041 | Harding Pinnacle Psychiatric Care PC | Psychiatry & Neurology | 9414 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2020-04-07 |
1134759988 | Emmanuel Nwapa Md Pllc | Psychiatry & Neurology | 5440 W Sahara Ave Ste 202, Las Vegas, NV 89146-0361 | 2020-01-21 |
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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.