Active NPI
Jung-Yang Lin
- Clinical Psychologist
- Wellesley Hills, MA
National Provider Identifier
1003430125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11106
- Practice address
- 231 Forest St
Wellesley Hills, MA 02481-6834 - Phone
- (781) 239-5204
- NPI assigned
- Jun 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11106 | MA | Primary |
Addresses
Primary practice location
231 Forest St
Wellesley Hills, MA 02481-6834
Mailing address
231 Forest St
Park Manor South Annex
Babson Park, MA 02457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1003430125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 FOREST ST",
"address_2": "PARK MANOR SOUTH ANNEX",
"city": "BABSON PARK",
"state": "MA",
"postal_code": "02457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 FOREST ST",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024816834",
"telephone_number": "781-239-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "JUNG-YANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.