Organization Active NPI

Link Psychological & Consulting Serv

  • Clinical Psychologist
  • La Porte, IN
National Provider Identifier
1275613341
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041588A Issued in IN
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

Updated by the provider on Oct 8, 2009

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 20041588A IN
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 20041588A IN Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 20041588A IN
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 20041588A IN
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X 20041588A IN
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200297340AMedicaidIN
200297340 AMedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.