Active NPI
Linda James Myers, PH.D.
- Clinical Psychologist
- Emeryville, CA
National Provider Identifier
1174744502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2035
- Practice address
- 2 Admiral Dr # B386
Emeryville, CA 94608-1550 - Phone
- (510) 601-1789
- Fax
- (415) 865-2636
- NPI assigned
- May 2, 2007
- 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 | 2035 | OH | Primary |
Addresses
Primary practice location
2 Admiral Dr # B386
Emeryville, CA 94608-1550
Mailing address
5800 Sunbury Rd
Gahanna, OH 43230-1152
Phone (614) 218-1186
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 |
|---|---|---|---|
| 2035 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174744502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 SUNBURY RD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432301152",
"telephone_number": "614-218-1186",
"fax_number": "510-601-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ADMIRAL DR # B386",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081550",
"telephone_number": "510-601-1789",
"fax_number": "415-865-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "LINDA",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "2035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.