Active NPI
Linda Welkovich, M.D.
- Geriatric Psychiatry Physician
- Boynton Beach, FL
National Provider Identifier
1194776328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- ME83161
- Practice address
- 4905 Park Ridge Blvd
Boynton Beach, FL 33426-8322 - Phone
- (561) 880-6200
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | ME83161 | FL | Primary |
Addresses
Primary practice location
4905 Park Ridge Blvd
Boynton Beach, FL 33426-8322
Mailing address
4905 Park Ridge Blvd
Boynton Beach, FL 33426-8322
Phone (561) 880-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265615900 | Medicaid | FL |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME83161 | FL | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320451200000",
"number": "1194776328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 PARK RIDGE BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268322",
"telephone_number": "561-880-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 PARK RIDGE BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268322",
"telephone_number": "561-880-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELKOVICH",
"first_name": "LINDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2011-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME83161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265615900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.