DR. MICHELLE LYONS PHD
NPI 1619451705
Psychologist - Clinical in San Diego, CA

Q: What is Michelle Lyons's NPI number?

The NPI number for Michelle Lyons is 1619451705. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Q: What is Michelle Lyons's specialty?

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

Q: Is Michelle Lyons enrolled in Medicare?

No. Michelle Lyons has opted out of Medicare through June 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Michelle Lyons was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 24, 2018Opted out of Medicare · through Jun 7, 2028

2535 CAMINO DEL RIO S STE 145, SAN DIEGO, CA 92108(619) 268-1199 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 9, 2024, Dec 16, 2019, Sep 24, 2018 (3 updates tracked since 2018).

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About Dr. Michelle Lyons Phd NPPES

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

DR. MICHELLE LYONS PHD (NPI 1619451705) is an individual clinical provider in San Diego, California, licensed in California (30202) and active in the NPI registry since September 2018. She has opted out of Medicare through June 7, 2028 and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1619451705

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHELLE LYONSCredential: PHD

Location Address2535 CAMINO DEL RIO S STE 145San Diego, CA 92108-3762

Mailing Address2535 Camino Del Rio S Ste 145San Diego, CA 92108-3762 · (619) 268-1199

Phone(619) 268-1199

Sole ProprietorNo

Enumeration DateSeptember 24, 2018

Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1619451705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 30202

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.

2535 CAMINO DEL RIO S STE 145, San Diego, CA 92108

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Secondary Practice Location 1

Location 13350 La Jolla Village Dr # 116BSan Diego, CA 92161-0002 · Phone (858) 552-8585

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michelle Lyons Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 7, 2024 through June 7, 2028.

Opt-Out Effective DateJune 7, 2024

Opt-Out In Effect ThroughJune 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 7

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

JESSICA ANDREA HUGHES PH.D.

Psychologist (Clinical)