Lynette Mckeon, Psy.d., LLC
Psychologist, Clinical in Summit, New Jersey
1710104864- Practice location
- 1 Springfield Ave Ste 2C, Summit, NJ 07901-4055
- Phone
- 908-393-1533
- Fax
- 908-393-1534
- Last updated
- May 7, 2024
Lynette Mckeon, Psy.d., LLC is a healthcare organization based in Summit, NJ. Lynette Mckeon, Psy.d., LLC practices in Summit, NJ. The NPI Number for Lynette Mckeon, Psy.d., LLC is 1710104864 and holds a License No. 4059 (NJ). The current practice location address for Lynette Mckeon, Psy.d., LLC is 1 Springfield Ave Ste 2C, Summit, NJ 07901-4055 and can be reached out via phone at 908-393-1533 and via fax at 908-393-1534.
Provider Profile Details
- NPI Number
- 1710104864
- Provider Name
- Lynette Mckeon, Psy.d., LLC
- Provider Entity Type
- Organization
- Address
- 1 Springfield Ave Ste 2C, Summit, NJ 07901-4055
- Phone Number
- 908-393-1533
- Fax Number
- 908-393-1534
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Lynette Mckeon, PSYD · Neuropsychologist / Business Owner · 908-393-1533
- Other Names
- New Jersey Brain Care (Doing Business As)
- Provider Enumeration Date
- April 19, 2007
- Last Update Date
- May 7, 2024
- Certification Date
- May 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Springfield Ave Ste 2C
Summit, NJ 07901-4055 - City
- Summit
- State
- New Jersey
- Zip
- 07901-4055
- Phone Number
- 908-393-1533
- Fax Number
- 908-393-1534
Provider Business Mailing Address Details
- Address
- 1 Springfield Ave Ste 2C
Summit, NJ 07901-4055 - City
- Summit
- State
- NJ
- Zip
- 07901-4055
- Phone Number
- 908-393-1533
- Fax Number
- 908-393-1534
License Information
- License Number (1)
- 4059
- License State (1)
- NJ
- Taxonomy (1)
- Clinical Neuropsychologist · 103G00000X
- License Number (2)
- 4059
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lynette Mckeon, Psy.d., LLC?
The NPI number of Lynette Mckeon, Psy.d., LLC is 1710104864. It was assigned on April 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Lynette Mckeon, Psy.d., LLC?
Lynette Mckeon, Psy.d., LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 4059.
Where does Lynette Mckeon, Psy.d., LLC practice?
The practice location is 1 Springfield Ave Ste 2C, Summit, NJ 07901-4055. The office can be reached at 908-393-1533 (phone) or 908-393-1534 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710104864 directly on the NPPES registry website.