LYONS PSYCHOLOGICAL SERVICES INC
NPI 1366249302
Psychologist - Clinical in Cameron Park, CA

Q: What is Lyons Psychological Services Inc's NPI number?

The NPI number for Lyons Psychological Services Inc is 1366249302. It was assigned to this organization in the NPPES registry on February 27, 2025.

Q: What is Lyons Psychological Services Inc's specialty?

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

Active since February 27, 2025

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: October 25, 2026.

Record update history: Apr 8, 2026, Feb 27, 2025 (2 updates tracked since 2025).

On this page

About Lyons Psychological Services Inc NPPES

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

LYONS PSYCHOLOGICAL SERVICES INC (NPI 1366249302) is a healthcare organization registered as a clinical in Cameron Park, California and active in the NPI registry since February 2025. The organization lists Timothy Lyons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366249302

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLYONS PSYCHOLOGICAL SERVICES INC

Location Address3749 SUDBURY RDCameron Park, CA 95682-8613

Mailing AddressPo Box 2284Shingle Springs, CA 95682-2284 · (209) 560-0230

Phone(209) 418-4822

Organization SubpartNo

Authorized OfficialTimothy LyonsCeo · (209) 418-4822

Enumeration DateFebruary 27, 2025

Last NPPES UpdateApril 8, 20262 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1366249302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

3749 SUDBURY RD, Cameron Park, CA 95682

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyons Psychological Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lyons Psychological Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Lyons, PSYD

Clinical Psychologist

NPI 1235683954

3749 SUDBURY RD
Cameron Park, CA 95682

(209) 418-4822

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lyons Psychological Services Inc's NPI number?

The NPI number for Lyons Psychological Services Inc is 1366249302. It was assigned to this organization in the NPPES registry on February 27, 2025.

Where is Lyons Psychological Services Inc located?

Lyons Psychological Services Inc is located at 3749 Sudbury Rd, Cameron Park, CA 95682. The listed phone number is (209) 418-4822.

What is Lyons Psychological Services Inc's specialty?

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

Is Lyons Psychological Services Inc enrolled in Medicare?

Yes. Lyons Psychological Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lyons Psychological Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lyons Psychological Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lyons Psychological Services Inc 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 6 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.