Individual provider Active NPI

Linda Sircus, PHD

  • Psychologist
  • Franklin, MI
National Provider Identifier
1295883346
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301007420 Issued in MI
Practice address
26111 W 14 Mile Rd Ste 101
Franklin, MI 48025-1170
Phone
(248) 310-4598
NPI assigned
Jan 8, 2007
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301007420 MI Primary

Addresses

Primary practice location

26111 W 14 Mile Rd Ste 101
Franklin, MI 48025-1170

Mailing address

26111 W 14 Mile Rd Ste 101
Franklin, MI 48025-1170
Phone (248) 310-4598

Other names 1

  • Linda Nosanchuk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330001148 MI Practitioner - Clinical Psychologist 8224084413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25090 Devon LN
Franklin, MI 48025-1280
Phone (248) 310-4598

26111 W 14 Mile Rd
Suite 101
Franklin, MI 48025-1170
Phone (248) 310-4598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301007420MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Institutes of Michigan, P.C. CurrentSince Aug 29, 2017 Accepting new patients
Sircus Psychological Services, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Psychological Institutes of Michigan, P.C. CurrentSince Aug 29, 2017 Accepting new patients

Locations

26111 W 14 Mile Rd
Ste 101
Franklin, MI 48025
Phone (248) 310-4598

26111 W 14 Mile Rd
Ste 104
Franklin, MI 48025
Phone (248) 626-4622

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1295883346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26111 W 14 MILE RD STE 101",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251170",
            "telephone_number": "248-310-4598",
            "fax_number": "248-310-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26111 W 14 MILE RD STE 101",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251170",
            "telephone_number": "248-310-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRCUS",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "NOSANCHUK",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, MI

Sources for this page

Verify at the official NPI Registry.