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TIMOTHY LYDON CRC
NPI 1548082795
Counselor - Mental Health in Santa Rosa, CA

Active since October 29, 2024
2285 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 524-6895 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Lydon Crc NPPES

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

TIMOTHY LYDON CRC (NPI 1548082795) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1548082795
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY LYDONCredential: CRC
Location Address2285 CHALLENGER WAYSanta Rosa, CA 95407-5418
Mailing Address2285 Challenger WaySanta Rosa, CA 95407-5418
Phone(707) 524-6895
Sole ProprietorNo
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1548082795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2285 CHALLENGER WAY, Santa Rosa, CA 95407
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Other Providers at the Same Location NPPES 7

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

ALEXANDER SCOTT ENDICOTT LVN
Licensed Vocational Nurse
2285 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 569-2300
MEGAN BETH DAVIS PHD
Psychologist (Clinical)
2285 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 205-9149
SAN FRANCISCO VAMC
Clinic/Center (VA)
2285 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (702) 341-3020
DR. SONALI MARFATIA ACHARYA BDS, MDS, DMD
Dentist (Periodontics)
2285 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 569-2300
DAVID JOSEPH PH.D.
Psychologist (Clinical)
2285 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (510) 206-1217
SAN FRANCISCO VAMC
Department of Veterans Affairs (VA) Pharmacy
2285 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (415) 750-6937
DAVID MCCULLOUGH RN
Registered Nurse (Emergency)
2285 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 569-2300

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 Lydon's NPI number?

The NPI number for Timothy Lydon is 1548082795. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Timothy Lydon located?

Timothy Lydon practices at 2285 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (707) 524-6895.

What is Timothy Lydon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Timothy Lydon was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.