Individual provider Active NPI

Linda S. Lamarca, PH.D.

  • Clinical Neuropsychologist
  • Glen Head, NY
National Provider Identifier
1053334003
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
017408 Issued in NY
Practice address
30 Glen Head Rd Ste 3East
Glen Head, NY 11545-1433
Phone
(516) 299-9300
Fax
(516) 299-9299
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 017408 NY Primary

Addresses

Primary practice location

30 Glen Head Rd Ste 3East
Glen Head, NY 11545-1433

Mailing address

30 Glen Head Rd Ste 3East
Glen Head, NY 11545-1433
Phone (516) 299-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 22, 2015 through Dec 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017408NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Linda S. Lamarca, PH.D. Clinical Neuropsychologist CurrentSince Jul 16, 2023 Accepting new patients

Locations

15 Glen St
Ste 203
Glen Cove, NY 11542
Phone (516) 299-9300

30 Glen Head Rd
Ste 3EAST
Glen Head, NY 11545
Phone (516) 299-9300

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1053334003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GLEN HEAD RD STE 3EAST",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451433",
            "telephone_number": "516-299-9300",
            "fax_number": "516-299-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GLEN HEAD RD STE 3EAST",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451433",
            "telephone_number": "516-299-9300",
            "fax_number": "516-299-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARCA",
        "first_name": "LINDA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "017408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

Verify at the official NPI Registry.