Active NPI
Laurie J. Lindner, PH.D.
- Psychoanalyst
- Summit, NJ
National Provider Identifier
1396822201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000680
- Practice address
- 33 Overlook Rd
Suite 210
Summit, NJ 07901-3570 - Phone
- (908) 277-0993
- Fax
- (908) 277-1869
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC04390500 | NJ | |
| Psychoanalyst | 102L00000X | 000680 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 21977 | CA | |
| Clinical Social Worker | 1041C0700X | R0531118 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0035900 | NJ |
Addresses
Primary practice location
33 Overlook Rd
Suite 210
Summit, NJ 07901-3570
Mailing address
33 Overlook Rd
Suite 210
Summit, NJ 07901-3570
Phone (908) 277-0993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0035900 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 000680 | NY | MD | Behavioral Analyst |
| SC04390500 | NJ | MD | Clinical Social Worker |
| R0531118 | NY | MD | Clinical Social Worker |
| 21977 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1396822201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD",
"address_2": "SUITE 210",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013570",
"telephone_number": "908-277-0993",
"fax_number": "908-277-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD",
"address_2": "SUITE 210",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013570",
"telephone_number": "908-277-0993",
"fax_number": "908-277-1869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDNER",
"first_name": "LAURIE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "SC04390500",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000680",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "21977",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0531118",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "0035900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.