Active NPI
Linda Brockman, PH.D.
- Clinical Psychologist
- Zephyr Cove, NV
National Provider Identifier
1104097377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 270
- Practice address
- 1060 Skyland Drive
Zephyr Cove, NV 89448-3152 - Phone
- (530) 318-5868
- NPI assigned
- Mar 17, 2008
- Last updated
- Mar 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 270 | NV | Primary |
Addresses
Primary practice location
1060 Skyland Drive
Zephyr Cove, NV 89448-3152
Mailing address
PO Box 11152
Zephyr Cove, NV 89448-3152
Phone (530) 318-5868
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 270 | NV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1104097377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11152",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894483152",
"telephone_number": "530-318-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 SKYLAND DRIVE",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894483152",
"telephone_number": "530-318-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKMAN",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PSY 270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zephyr Cove, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.