1. Home
  2. Directory
  3. California
  4. Livermore
  5. Psychologist
  6. NPI Profile

DR. JENNIFER REBECCA LYDON-LAM PH.D.
NPI 1780914036
Psychologist - Clinical in Livermore, CA

Active since January 09, 2010PECOS Enrolled
3000 LAS POSITAS RD, LIVERMORE, CA 94551(925) 243-2600 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, Jan 3, 2022, Jun 20, 2016 (3 updates tracked since 2016).

About Dr. Jennifer Rebecca Lydon-lam Ph.d. NPPES

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

DR. JENNIFER REBECCA LYDON-LAM PH.D. (NPI 1780914036) is an individual clinical provider in Livermore, California, licensed in California (PSY28072) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780914036
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER REBECCA LYDON-LAMCredential: PH.D.
Location Address3000 LAS POSITAS RDLivermore, CA 94551-9627
Mailing Address3000 Las Positas RdLivermore, CA 94551-9627 · (925) 243-2600
Phone(925) 243-2600
Sole ProprietorNo
Enumeration DateJanuary 9, 2010
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1780914036 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 · PSY28072
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.
3000 LAS POSITAS RD, Livermore, CA 94551
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Rebecca Lydon-lam Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Lydon-lam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
28 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94551 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

JOSE PINAL
Counselor (Mental Health)
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
THUY NGUYEN
Pharmacist
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-4704
MS. ANDREA E PICCHI MS, NP
Nurse Practitioner (Family)
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-4416
KASHIKA GUPTA MD
Student in an Organized Health Care Education/Training Program
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
ANDREW W. RODGERS MD
Internal Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
VANDANA JAIN MD
Internal Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
TIMOTEO BAUTISTA CANIO MD
Internal Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
ARSHIAN MAHAJAN M.D.
Family Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (209) 468-6000

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 Jennifer Lydon-lam's NPI number?

The NPI number for Jennifer Lydon-lam is 1780914036. It was assigned to this individual provider in the NPPES registry on January 9, 2010.

Where is Jennifer Lydon-lam located?

Jennifer Lydon-lam practices at 3000 Las Positas Rd, Livermore, CA 94551. The listed phone number is (925) 243-2600.

What is Jennifer Lydon-lam's specialty?

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

Is Jennifer Lydon-lam enrolled in Medicare?

Yes. Jennifer Lydon-lam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Lydon-lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Lydon-lam reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Jennifer Lydon-lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Lydon-lam was last updated on May 16, 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.