Lina Guertin, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

189358 Issued in NY

Practice address

21 Addison St
Larchmont, NY 10538-2744

Phone

(914) 834-1119

NPI assigned

Jan 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1376523522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ADDISON ST",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382744",
            "telephone_number": "914-834-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ADDISON ST",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382744",
            "telephone_number": "914-834-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERTIN",
        "first_name": "LINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "189358",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "189358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Cohen Green, PH.D.
• Jennifer Aliza Greenberg, MA, CCC-SLP
• Anabelle Grigorescu, D.AC, MS.AC., L.AC.
• Amy Sara Grinberg, PH.D
• Staci Grodin
• Helen C Haber, LCSW
• Sara L Haftel
• Gus Haracopos, PHD, LCSW
• Keicia Noelle Hare, LMHC
• Lindagay Harmon, R.N.

• Child & Adolescent Psychiatry Physician in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.