Individual provider Active NPI

Linda K Ormiston, PH.D.

  • Psychologist
  • Rohnert Park, CA
National Provider Identifier
1164635124
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY7050 Issued in CA
Practice address
5425 Snyder LN
Apt 52
Rohnert Park, CA 94928-2937
Phone
(415) 322-0264
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY7050 CA
Psychologist 103T00000X PSY7050 CA Primary

Addresses

Primary practice location

5425 Snyder LN
Apt 52
Rohnert Park, CA 94928-2937

Mailing address

5425 Snyder LN
Apt 52
Rohnert Park, CA 94928-2937
Phone (415) 322-0264

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
PSY7050CAMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1164635124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SNYDER LN",
            "address_2": "APT 52",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282937",
            "telephone_number": "415-322-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 SNYDER LN",
            "address_2": "APT 52",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282937",
            "telephone_number": "415-322-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMISTON",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY7050",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY7050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.