Individual provider Active NPI

Linda F Fershtman, S.PSY.S, L.L.P.

  • Clinical Child & Adolescent Psychologist
  • Commerce TWP, MI
National Provider Identifier
1265870414
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6301012935 Issued in MI
Practice address
8898 Commerce Rd
Suite 3a
Commerce TWP, MI 48382-4485
Phone
(248) 363-2850
Fax
(800) 380-6809
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6301012935 MI Primary

Addresses

Primary practice location

8898 Commerce Rd
Suite 3a
Commerce TWP, MI 48382-4485

Mailing address

2790 Parkwick CT
Suite 101
West Bloomfield, MI 48324-4105
Phone (248) 363-2850

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

State licenses

LicenseStateTypeSpecialty
6301012935MIMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laps PLLC Clinical Child & Adolescent Past Accepting new patients

Organizations & group practices 1

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1265870414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 PARKWICK CT",
            "address_2": "SUITE 101",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244105",
            "telephone_number": "248-363-2850",
            "fax_number": "800-380-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8898 COMMERCE RD",
            "address_2": "SUITE 3A",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824485",
            "telephone_number": "248-363-2850",
            "fax_number": "800-380-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERSHTMAN",
        "first_name": "LINDA",
        "middle_name": "F",
        "credential": "S.PSY.S, L.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301012935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.