Active NPI
Linda Potter-Gallant, MA, LLP
- Psychologist
- Redford, MI
National Provider Identifier
1245521459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361007186
- Practice address
- 9329 Telegraph Rd
Redford, MI 48239-1260 - Phone
- (313) 937-9500
- NPI assigned
- Apr 21, 2011
- Last updated
- Mar 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361007186 | MI | Primary |
| Clinical Psychologist | 103TC0700X | 6301012716 | MI |
Addresses
Primary practice location
9329 Telegraph Rd
Redford, MI 48239-1260
Mailing address
9329 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 937-9500
Other names 1
- Linda M Potter
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007186 | MI | MD | Psychologist |
| 6301012716 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Harmony LLC | Clinical | Current | Accepting new patients |
| Lincoln Behavioral Services | Past | Accepting new patients | |
| Lincoln Behavioral Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Northville, MI
- NPI 1164251286
-
- Family Medicine Physician
- Redford, MI
- NPI 1356987762
-
- Psychiatry Physician
- Redford, MI
- NPI 1669451944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1245521459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9329 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391260",
"telephone_number": "313-937-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9329 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391260",
"telephone_number": "313-937-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER-GALLANT",
"first_name": "LINDA",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361007186",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "POTTER",
"middle_name": "M",
"credential": "MA, LLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.