Individual provider Active NPI

Linda H Sampliner, EDD

  • Clinical Psychologist
  • Tucson, AZ
National Provider Identifier
1093897571
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
968 Issued in AZ
Practice address
6650 N Oracle Rd
Suite 110
Tucson, AZ 85704-5604
Phone
(520) 877-3337
Fax
(520) 877-3338
NPI assigned
Oct 20, 2006
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 968 AZ Primary
Psychologist 103T00000X 968 AZ

Addresses

Primary practice location

6650 N Oracle Rd
Suite 110
Tucson, AZ 85704-5604

Mailing address

6650 N Oracle Rd
Suite 110
Tucson, AZ 85704-5604
Phone (520) 877-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000505 AZ Practitioner - Clinical Psychologist 5092615120 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6592 N Oracle Rd
Tucson, AZ 85704-5640
Phone (520) 877-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
968AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marden Petrie, PSYD, PLLC Clinical PastSince Apr 9, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1093897571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 N ORACLE RD",
            "address_2": "SUITE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045604",
            "telephone_number": "520-877-3337",
            "fax_number": "520-877-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N ORACLE RD",
            "address_2": "SUITE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045604",
            "telephone_number": "520-877-3337",
            "fax_number": "520-877-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLINER",
        "first_name": "LINDA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "968",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.