DR. MARK LYALL PSY.D
NPI 1730595349
Psychologist in Nutley, NJ

Active since July 02, 2014Opted out of Medicare · through Jul 25, 2027
610 FRANKLIN AVE, NUTLEY, NJ 07110(973) 798-2536 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Lyall Psy.d NPPES

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

DR. MARK LYALL PSY.D (NPI 1730595349) is an individual psychologist in Nutley, New Jersey, licensed in New Jersey (35SL00514400) and active in the NPI registry since July 2014. He has opted out of Medicare through July 25, 2027.

NPPES Registry Identity

NPI1730595349
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARK LYALLCredential: PSY.D
Location Address610 FRANKLIN AVENutley, NJ 07110-1244
Mailing Address610 Franklin AvenueNutley, NJ 07110 · (973) 798-2536
Sole ProprietorYes
Enumeration DateJuly 2, 2014
Last NPPES UpdateAugust 14, 2014
NPI 1730595349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 35SL00514400
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
610 FRANKLIN AVE, Nutley, NJ 07110

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. Mark Lyall Psy.d 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 July 25, 2021 through July 25, 2027.

Opt-Out Effective DateJuly 25, 2021
Opt-Out In Effect ThroughJuly 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Rehabilitation Unit
610 FRANKLIN AVE
NUTLEY, NJ 07110
Acupuncturist
610 FRANKLIN AVE
NUTLEY, NJ 07110
Acupuncturist
610 FRANKLIN AVE
NUTLEY, NJ 07110

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 Mark Lyall's NPI number?

The NPI number for Mark Lyall is 1730595349. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Mark Lyall located?

Mark Lyall practices at 610 Franklin Ave, Nutley, NJ 07110. The listed phone number is (973) 798-2536.

What is Mark Lyall's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Lyall enrolled in Medicare?

No. Mark Lyall has opted out of Medicare through July 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mark Lyall was last updated on August 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.