Individual provider Active NPI

Maria D Linden, M.D.

  • Psychiatry Physician
  • Green Bay, WI
National Provider Identifier
1316137490
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
68890-20 Issued in WI
Practice address
2640 W Point Rd
Green Bay, WI 54304-1344
Phone
(920) 490-3790
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.145008 IL
Psychiatry Physician 2084P0800X 244243 NY
Psychiatry Physician 2084P0800X 68890-20 WI Primary

Addresses

Primary practice location

2640 W Point Rd
Green Bay, WI 54304-1344

Mailing address

PO Box 365
Oneida, WI 54155-0365
Phone (920) 490-3790

Other practice location 1

1 Gustave L Levy Pl
Dept of Pyschiatry
New York, NY 10029-6500
Phone (212) 659-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180921002442 IL Practitioner - Psychiatry 6002967536 Reassigns benefits to 2 organizations
I20211115000788 WI Practitioner - Psychiatry 6002967536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridgeway Inc 6 clinicians
Oneida Nation 36 clinicians

Practice addresses (Care Compare)

2323 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-2323

525 Airport Dr
Oneida, WI 54155-9035
Phone (920) 869-2711

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
  • Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325
  • MC Donough District Hospital Hospital, Macomb, IL, CCN 140089
  • Osf Holy Family Medical Center Hospital, Monmouth, IL, CCN 141318

Merit-based Incentive Payment System (MIPS)

Final score
93.87 of 100Reported as group
Quality
76.81
Promoting interoperability
100
Improvement activities
40
Cost
86.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.145008ILMDPsychiatry Physician
68890-20WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Medical Services, NFP CurrentSince Jan 15, 2020 Accepting new patients
Bridgeway Inc Psychiatry CurrentSince Nov 19, 2019 Accepting new patients
Bridgeway Inc CurrentSince Nov 19, 2019 Accepting new patients
Oneida Nation CurrentSince Oct 1, 2021 Accepting new patients
Oneida Nation CurrentSince Oct 1, 2021 Accepting new patients
Bridgeway Inc. Past Accepting new patients
Bridgeway Inc Psychiatry Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

2323 Windish Dr
Galesburg, IL 61401
Phone (309) 344-2323

137 E College St
Kewanee, IL 61443
Phone (309) 852-4331

900 S Deer Rd
Macomb, IL 61455
Phone (309) 837-4876

301 Industrial Park Rd
Monmouth, IL 61462
Phone (309) 734-9461

525 Airport Dr
Oneida, WI 54155
Phone (920) 869-2711

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1316137490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ONEIDA",
            "state": "WI",
            "postal_code": "541550365",
            "telephone_number": "920-490-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W POINT RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041344",
            "telephone_number": "920-490-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Dept of Pyschiatry",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-659-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDEN",
        "first_name": "MARIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.145008",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244243",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "68890-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.