Individual provider Active NPI

Lauren Elizabeth Linn, PH.D.

  • Clinical Psychologist
  • Higganum, CT
National Provider Identifier
1023780681
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4007 Issued in CT
Practice address
558 Beaver Meadow Rd
Higganum, CT 06441-4409
Phone
(203) 400-5580
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4007 CT Primary

Addresses

Primary practice location

558 Beaver Meadow Rd
Higganum, CT 06441-4409

Mailing address

558 Beaver Meadow Rd
Higganum, CT 06441-4409
Phone (203) 400-5580

Other practice location 1

213 Court St Fl 6
Middletown, CT 06457-3346
Phone (860) 788-6404 ext. 152

Other names 1

  • Dr. Lauren Elizabeth Reinarz Former name

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

LicenseStateTypeSpecialty
4007CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Awen Psychological Services Clinical CurrentSince Nov 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1023780681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 BEAVER MEADOW RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414409",
            "telephone_number": "203-400-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 BEAVER MEADOW RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414409",
            "telephone_number": "203-400-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Court St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064573346",
            "country_code": "US",
            "telephone_number": "860-788-6404 x152",
            "fax_number": "860-829-0495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINN",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "REINARZ",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Higganum, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.