Active NPI
Linda Nist, PH.D.
- Psychologist
- New Philadelphia, OH
National Provider Identifier
1003900077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6293
- Practice address
- 1260 Monroe Ave Suite 1a
New Philadelphia, OH 44663-4147 - Phone
- (330) 602-5339
- Fax
- (330) 602-4388
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E3411-S | OH | |
| Psychologist | 103T00000X | 6293 | OH | Primary |
Addresses
Primary practice location
1260 Monroe Ave Suite 1a
New Philadelphia, OH 44663-4147
Mailing address
1260 Monroe Ave. Suite 1a
New Philadelphia, OH 44663-4147
Phone (330) 602-5339
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3411-S | OH | MD | Professional Counselor |
| 6293 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1003900077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 MONROE AVE. SUITE 1A",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446634147",
"telephone_number": "330-602-5339",
"fax_number": "330-602-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 MONROE AVE SUITE 1A",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446634147",
"telephone_number": "330-602-5339",
"fax_number": "330-602-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIST",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E3411-S",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Philadelphia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.