Linda Foltz, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY001867 Issued in GA

Legal business name

LINDA FOLTZ, PH.D., P.C.

Practice address

1592 Drakes Dr
Jonesboro, GA 30236-5068

Phone

(770) 461-2520

NPI assigned

Aug 9, 2007

Last updated

Mar 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda Foltz, PH.D.NPI 1528194917

Title

President

Phone

(770) 461-2520

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Foltz, PH.D.

  • Clinical Psychologist
  • Jonesboro, GA
  • NPI 1528194917
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1215129655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 DRAKES DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365068",
            "telephone_number": "770-461-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 DRAKES DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365068",
            "telephone_number": "770-461-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 North Park Drive",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "30214",
            "country_code": "US",
            "telephone_number": "770-461-2520",
            "fax_number": "770-461-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINDA FOLTZ, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-461-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000611421B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "68BBGDP",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GROUP 4671",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sheree Lewis
• Brittany Liebermann
• Life of Creations Homecare Agency
• Life Source Counseling & Consulting, LLC
• Lift Health Care of Ga LLC
• Liquid Gold Standard Perinatal Services
• Jayelyn Livingston, LMT
• Linda Lobin
• Sonya Lock
• Kahleel Locke

• Clinical Psychologist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.