Individual provider Active NPI

Linda M Comin, PSY.D

  • Clinical Psychologist
  • Oceanside, CA
National Provider Identifier
1215110911
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22670 Issued in CA
Practice address
1816 Magnolia CT
Oceanside, CA 92054-0601
Phone
(951) 972-7221
Fax
(951) 972-4737
NPI assigned
Dec 17, 2007
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3340 AZ
Clinical Psychologist 103TC0700X 22670 CA Primary

Addresses

Primary practice location

1816 Magnolia CT
Oceanside, CA 92054-0601

Mailing address

1816 Magnolia CT
Oceanside, CA 92054
Phone (951) 972-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20101103000100 CA Practitioner - Clinical Psychologist 8921013087 Reassigns benefits to 1 organization
Practice locations: Oceanside, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1816 Magnolia CT
Oceanside, CA 92054-0601
Phone (951) 972-7221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22670CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca CurrentSince May 1, 2025 Accepting new patients
Lifespan Behavioral Health, LLC Clinical PastSince Feb 1, 2009 Accepting new patients
Dr. Linda Comin Psychologist Inc Clinical Past Accepting new patients
Dr. Linda Comin, LLC Clinical PastSince Feb 26, 2008 Accepting new patients

Locations

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1215110911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 MAGNOLIA CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "951-972-7221",
            "fax_number": "951-972-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 MAGNOLIA CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920540601",
            "telephone_number": "951-972-7221",
            "fax_number": "951-972-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMIN",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3340",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.