Linda Faye Little, PHD PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60468249 Issued in WA

Practice address

780 McMinn Rd
Port Townsend, WA 98368-9005

Phone

(360) 385-7459

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1063889269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MCMINN RD",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689005",
            "telephone_number": "360-385-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MCMINN RD",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689005",
            "telephone_number": "360-385-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "LINDA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60468249",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "WA",
            "license": ".PY60468249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Levin, RN, MS
• Bertram Joseph Levy, M.D.
• Darlene Elizabeth Lewis, LMT, MLD-C
• Macrina Shirley May Lewis, RN
• Isabel Liendo Lira, DDS
• Sheana Livingstone
• Liza Mathias DDS PLLC (Uptown Dental Clinic)
• Harriet Louise Logg, LMP
• Loomis Restorative Physical Therapy, Inc.
• Stephanie J Loomis, PT

• Clinical Psychologist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.