Active NPI
Pamela W Linnell, PHD
- Psychologist
- Roswell, NM
National Provider Identifier
1013938604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 759
- Practice address
- 1210 N Main St Ste 304
Roswell, NM 88201-5016 - Phone
- (505) 622-4519
- Fax
- (505) 623-3232
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 759 | NM | Primary |
| Clinical Psychologist | 103TC0700X | 759 | NM |
Addresses
Primary practice location
1210 N Main St Ste 304
Roswell, NM 88201-5016
Mailing address
PO Box 1178
Roswell, NM 88202-1178
Phone (505) 622-4519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76675 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 759 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1013938604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1178",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882021178",
"telephone_number": "505-622-4519",
"fax_number": "505-623-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 N MAIN ST STE 304",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015016",
"telephone_number": "505-622-4519",
"fax_number": "505-623-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINNELL",
"first_name": "PAMELA",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "759",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "759",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76675",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.