Individual provider Active NPI

Alison Sue Linn-Mowery, PH.D.

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1336542604
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4358 Issued in OH
Practice address
547 E 11TH Ave
Columbus, OH 43211-2603
Phone
(614) 224-4506
Fax
(614) 291-0118
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4358 OH Primary

Addresses

Primary practice location

547 E 11TH Ave
Columbus, OH 43211-2603

Mailing address

547 E 11TH Ave
Columbus, OH 43211-2603
Phone (614) 224-4506

Other identifiers 1

IdentifierTypeStateIssuer
0171735MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170414000600 OH Practitioner - Clinical Psychologist 2264718873 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4358OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compdrug CurrentSince Mar 16, 2017 Accepting new patients
Compdrug Past Accepting new patients
Compdrug Past Accepting new patients

Locations

1420 Fields Ave
Columbus, OH 43211
Phone (614) 224-4506

547 E 11th Ave
Columbus, OH 43211
Phone (614) 224-4506

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1336542604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-224-4506",
            "fax_number": "614-291-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-224-4506",
            "fax_number": "614-291-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINN-MOWERY",
        "first_name": "ALISON",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.