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TIMOTHY LYONS PSYD
NPI 1235683954
Psychologist - Clinical in Cameron Park, CA

Active since August 10, 2016PECOS EnrolledAccepts Medicare Assignment
3749 SUDBURY RD, CAMERON PARK, CA 95682(209) 418-4822 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Dec 28, 2018, Aug 10, 2016 (3 updates tracked since 2016).

About Timothy Lyons Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY LYONS PSYD (NPI 1235683954) is an individual clinical provider in Cameron Park, California, licensed in California (34809) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235683954
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTIMOTHY LYONSCredential: PSYD
Location Address3749 SUDBURY RDCameron Park, CA 95682-8613
Mailing AddressPo Box 2284Shingle Springs, CA 95682-2284 · (209) 418-4822
Phone(209) 418-4822
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 10, 2016
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1235683954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34809
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3749 SUDBURY RD, Cameron Park, CA 95682
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Other Identifiers 1

Medicaid1235683954CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Lyons Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446798102
PECOS Enrollment IDI20260508001125
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95682 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PETER KWEI AKUETE AMFT
Student in an Organized Health Care Education/Training Program
3749 SUDBURY RD
CAMERON PARK, CA 95682
El Dorado County (209) 418-4822
LYONS PSYCHOLOGICAL SERVICES INC
Psychologist (Clinical)
3749 SUDBURY RD
CAMERON PARK, CA 95682
El Dorado County (209) 418-4822
LADDER TREATMENT SERVICES MANAGEMENT LLC
Clinic/Center (Adult Mental Health)
3749 SUDBURY RD
CAMERON PARK, CA 95682
El Dorado County (916) 304-2098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Lyons's NPI number?

The NPI number for Timothy Lyons is 1235683954. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Timothy Lyons located?

Timothy Lyons practices at 3749 Sudbury Rd, Cameron Park, CA 95682. The listed phone number is (209) 418-4822.

What is Timothy Lyons's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Timothy Lyons enrolled in Medicare?

Yes. Timothy Lyons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Timothy Lyons was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.