Active NPI
Link Psychological & Consulting Serv
- Clinical Psychologist
- La Porte, IN
National Provider Identifier
1275613341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20041588A
- Legal business name
- LINK PSYCHOLOGICAL & CONSULTING SERV
- Practice address
- 900 I Street
La Porte, IN 46350-5533 - Phone
- (219) 324-7063
- Fax
- (219) 362-1962
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy H. Link, PSY.D.
- Title
- President
- Phone
- (219) 324-7063
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20041588A | IN | |
| Clinical Psychologist | 103TC0700X | 20041588A | IN | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 20041588A | IN | |
| Family Psychologist | 103TF0000X | 20041588A | IN | |
| Forensic Psychologist | 103TF0200X | 20041588A | IN | |
| Group Psychotherapy Psychologist | 103TP2701X | 20041588A | IN |
Addresses
Primary practice location
900 I Street
La Porte, IN 46350-5533
Mailing address
213 Farmwood Drive
La Porte, IN 46350-1905
Phone (219) 324-7063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200297340A | Medicaid | IN | |
| 200297340 A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
245 W Johnson Rd
#6
La Porte, IN 46350
Phone (219) 324-7063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254960000000",
"number": "1275613341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 FARMWOOD DRIVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463501905",
"telephone_number": "219-324-7063",
"fax_number": "219-362-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 I STREET",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463505533",
"telephone_number": "219-324-7063",
"fax_number": "219-362-1962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINK PSYCHOLOGICAL & CONSULTING SERV",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2009-10-08",
"status": "A",
"authorized_official_last_name": "LINK",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-324-7063",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "IN",
"license": "20041588A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20041588A",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IN",
"license": "20041588A",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "IN",
"license": "20041588A",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "IN",
"license": "20041588A",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": "IN",
"license": "20041588A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200297340A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200297340 A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.