NEW JERSEY BRAIN CARE
NPI 1710104864
Psychologist - Clinical in Summit, NJ

Active since April 19, 2007
1 SPRINGFIELD AVE STE 2C, SUMMIT, NJ 07901(908) 393-1533(908) 393-1534 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About New Jersey Brain Care NPPES

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

NEW JERSEY BRAIN CARE (NPI 1710104864) is a healthcare organization registered as a clinical in Summit, New Jersey and active in the NPI registry since April 2007. The organization lists Lynette Mckeon, Neuropsychologist / Business Owner, as its authorized official.

NPPES Registry Identity

NPI1710104864
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLYNETTE MCKEON, PSY.D., LLC
Location Address1 SPRINGFIELD AVE STE 2CSummit, NJ 07901-4055
Mailing Address1 Springfield Ave Ste 2cSummit, NJ 07901-4055 · (908) 393-1533 · Fax (908) 393-1534
Fax(908) 393-1534
Organization SubpartNo
Authorized OfficialLynette MckeonNeuropsychologist / Business Owner · (908) 393-1533
Enumeration DateApril 19, 2007
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1710104864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 4059
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 ListedClinical NeuropsychologistTaxonomy 103G00000X · License 4059 (NJ)
1 SPRINGFIELD AVE STE 2C, Summit, NJ 07901

Other Names 1

Doing Business AsNew Jersey Brain Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

New Jersey Brain Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to New Jersey Brain Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1477695674
1 SPRINGFIELD AVE STE 2C
Summit, NJ 07901
(908) 393-1533
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1902439987
792 CHIMNEY ROCK RD STE C
Martinsville, NJ 08836
(908) 393-1533
✔ PECOS✔ Accepts Medicare14 mi

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 Lynette Mckeon, Psy.D., LLC's NPI number?

The NPI number for Lynette Mckeon, Psy.D., LLC is 1710104864. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as New Jersey Brain Care.

Where is Lynette Mckeon, Psy.D., LLC located?

Lynette Mckeon, Psy.D., LLC is located at 1 Springfield Ave Ste 2C, Summit, NJ 07901. The listed phone number is (908) 393-1533.

What is Lynette Mckeon, Psy.D., LLC's specialty?

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

Is Lynette Mckeon, Psy.D., LLC enrolled in Medicare?

Yes. Lynette Mckeon, Psy.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lynette Mckeon, Psy.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Lynette Mckeon, Psy.D., LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lynette Mckeon, Psy.D., LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.