Individual provider Active NPI

Cheryl L Lindberg, PH.D.

  • Counseling Psychologist
  • Allen, TX
National Provider Identifier
1346360286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2-3258 Issued in TX
Practice address
100 Allentown Pkwy
114
Allen, TX 75002-4200
Phone
(972) 727-5720
Fax
(972) 727-5729
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2-3258 TX Primary

Addresses

Primary practice location

100 Allentown Pkwy
114
Allen, TX 75002-4200

Mailing address

100 Allentown Pkwy
114
Allen, TX 75002-4200
Phone (972) 727-5720

Other identifiers 1

IdentifierTypeStateIssuer
00B04AOtherTXBC PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20120927000678 TX Practitioner - Psychologist Billing Independently 7517116080 Practice locations: Allen, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Texas HSC, College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Allentown Pkwy
Suite 114
Allen, TX 75002-4219
Phone (972) 727-5720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2-3258TXMDCounseling Psychologist
23258TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346360286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PKWY",
            "address_2": "114",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024200",
            "telephone_number": "972-727-5720",
            "fax_number": "972-727-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PKWY",
            "address_2": "114",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024200",
            "telephone_number": "972-727-5720",
            "fax_number": "972-727-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-3258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "00B04A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.