Individual provider Active NPI

Michael I-Jen Lin, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1295851285
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
224849 Issued in NY
Practice address
4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone
(214) 857-4279
NPI assigned
Mar 21, 2007
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD478103 PA
Psychiatry Physician 2084P0800X 0101277297 VA
Psychiatry Physician 2084P0800X 25MA11499500 NJ
Psychiatry Physician 2084P0800X 224849 NY Primary

Addresses

Primary practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Mailing address

13626 Hart Dr
Cerritos, CA 90703-1019
Phone (937) 371-3359

Other practice location 1

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-6186

Other practice location 2

1020 First Colonial Rd Ste A
Virginia Beach, VA 23454-3078
Phone (757) 395-1850

Other practice location 3

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (484) 337-4286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, FL, PA, VT, NJ, WV7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220808000107 NY Practitioner - Psychiatry 2769864784 Reassigns benefits to 2 organizations
I20230127001190 VA Practitioner - Psychiatry 2769864784 Reassigns benefits to 8 organizations
I20230316000313 FL Practitioner - Psychiatry 2769864784 Reassigns benefits to 1 organization
I20230509000750 PA Practitioner - Psychiatry 2769864784 Reassigns benefits to 4 organizations
I20230601000620 VT Practitioner - Psychiatry 2769864784 Reassigns benefits to 2 organizations
I20231120003326 NJ Practitioner - Psychiatry 2769864784 Reassigns benefits to 2 organizations
I20240403002191 WV Practitioner - Psychiatry 2769864784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

130 S Bryn Mawr Ave
Main Line Health Psychiatric Assn Psych Uni
Bryn Mawr, PA 19010-3143
Phone (484) 337-4286

1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-8141

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4210

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

559 W Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-1000

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

PO Box
St Johnsbury, VT 05819-0905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11499500NJMDPsychiatry Physician
MD478103PAMDPsychiatry Physician
0101277297VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Winchester Medical Center CurrentSince Feb 19, 2024 Accepting new patients
Gifford Medical Center Inc CurrentSince May 22, 2023 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Nchmd, Inc CurrentSince Mar 7, 2023 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Page Memorial Hospital, Inc. Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Shenandoah Memorial Hospital Inc. Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Physician Partners of Englewood, PC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Warren Memorial Hospital, Inc. Psychiatry CurrentSince Feb 19, 2024 Accepting new patients
CMH Physician Services, LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Feb 6, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Feb 7, 2023 Accepting new patients
Fornance Physician Services Inc CurrentSince Jan 4, 2023 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
CMH Physician Services, LLC CurrentSince Feb 1, 2023 Accepting new patients
Albany Medical College General Practice CurrentSince May 25, 2022 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Albany Medical College Psychiatry CurrentSince May 25, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Ellis Hospital CurrentSince Mar 20, 2023 Accepting new patients
Albany Medical College Internal Medicine CurrentSince May 25, 2022 Accepting new patients
Center for Family Guidance, PC Psychiatry CurrentSince Oct 8, 2023 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Feb 6, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Winchester Medical Center Psychiatry Current Accepting new patients
Fornance Physician Services, Inc. CurrentSince Jan 4, 2023 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Sep 1, 2020 Accepting new patients
MCV Associated Physicians Psychiatry CurrentSince Mar 23, 2023 Accepting new patients
Winchester Medical Center Psychiatry CurrentSince Feb 19, 2024 Accepting new patients
Northeastern Vermont Regional Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients
War Memorial Hospital Inc Internal Medicine Current Accepting new patients
Nchmd Inc CurrentSince Mar 7, 2023 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Gifford Medical Center Inc. CurrentSince May 22, 2023 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Current Accepting new patients
Shenandoah Memorial Hospital, Inc. Surgery Past Accepting new patients

Locations (25 of 37)

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

350 Engle St
#4E
Englewood, NJ 07631
Phone (201) 292-1400

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

8680 Hospital Way
Manassas, VA 20110
Phone (703) 369-8055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.linmd.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: mlin2631477@direct.trinity-health.org
  • Direct secure messaging: mlin552493@direct.healthsystem.virginia.edu
  • Direct secure messaging: mlin601782@direct.shands.ufl.edu

Organizations & group practices 48

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.

View all 48

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1295851285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13626 HART DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031019",
            "telephone_number": "937-371-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-4279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-6186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 First Colonial Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543078",
            "country_code": "US",
            "telephone_number": "757-395-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "484-337-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MICHAEL",
        "middle_name": "I-JEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD478103",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101277297",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11499500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "224849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.