Linda Busch Somach, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012048 Issued in NY

Practice address

3930 Richmond Ave
Suite 104
Staten Island, NY 10312-5100

Phone

(718) 605-6383

Fax

(718) 605-6384

NPI assigned

Jul 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Linda Busch Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Integrated Psychological Services LLC

  dba Linda Busch Somach

  • Clinical Psychologist
  • Sparta, NJ
  • NPI 1720545650
  Medicare reassignment NPD
• Revitalizing Remedies LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Andover, NJ
  • NPI 1497411938
  NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205840584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VINCENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062137",
            "telephone_number": "718-605-6383",
            "fax_number": "718-605-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 RICHMOND AVE",
            "address_2": "SUITE 104",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125100",
            "telephone_number": "718-605-6383",
            "fax_number": "718-605-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH SOMACH",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "6153853",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01605632",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID",
            "identifier": "092198",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER ID",
            "identifier": "241097",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "6885393",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P2356070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BUSCH",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayla Burrier
• Nicole Burt
• Burton Banner M.D., P.C.
• Marianne Bury, MSW, LCSW
• Rasheed Shobowale Busari, M.D
• Jeanette Buss, PT
• Emma Rosa Bustamante-Wilson, CCC-SLP
• Lilian Bustillo Chavez, RN
• Carol Ann Busuttil
• Gitaben A Butala

• Clinical Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.