Individual provider Active NPI

Linda Maxwell Robertson, MFT

  • Marriage & Family Therapist
  • Rancho Mirage, CA
National Provider Identifier
1326220336
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44929 Issued in CA
Practice address
22 La Cerra Dr
Rancho Mirage, CA 92270-3809
Phone
(949) 697-9153
NPI assigned
Nov 30, 2007
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 44929 CA Primary

Addresses

Primary practice location

22 La Cerra Dr
Rancho Mirage, CA 92270-3809

Mailing address

22 La Cerra Dr
Rancho Mirage, CA 92270-3809
Phone (949) 697-9153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240318000315 CA Practitioner - Marriage and Family Therapist 1052758745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 La Cerra Dr
Rancho Mirage, CA 92270-3809
Phone (949) 697-9153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44929CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Robertson, Marriage & Family Therapist, Inc. Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

23421 S Pointe Dr
Ste 130
Laguna Hills, CA 92653
Phone (949) 376-1786

Organizations & group practices 1

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1326220336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LA CERRA DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703809",
            "telephone_number": "949-697-9153",
            "fax_number": "949-715-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LA CERRA DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703809",
            "telephone_number": "949-697-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LINDA",
        "middle_name": "MAXWELL",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.