Active NPI
Lance Hartmut Linke, PH.D.
- Clinical Psychologist
- Ipswich, MA
National Provider Identifier
1407407034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11156
- Practice address
- 4 S Main St Ste 6
Ipswich, MA 01938-2345 - Phone
- (978) 380-8496
- NPI assigned
- Sep 25, 2019
- Last updated
- Jan 23, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 11156 | MA | |
| Clinical Psychologist | 103TC0700X | 11156 | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 11156 | MA | |
| Family Psychologist | 103TF0000X | 11156 | MA | |
| Group Psychotherapy Psychologist | 103TP2701X | 11156 | MA |
Addresses
Primary practice location
4 S Main St Ste 6
Ipswich, MA 01938-2345
Mailing address
4 S Main St Ste 6
Ipswich, MA 01938-2345
Phone (978) 380-8496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11156 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lance Hartmut Linke, LLC | Cognitive & Behavioral | Current | Accepting new patients |
Locations
4 S Main St
Ste 6
Ipswich, MA 01938
Phone (808) 389-8139
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": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1407407034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 S MAIN ST STE 6",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382345",
"telephone_number": "978-380-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 S MAIN ST STE 6",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382345",
"telephone_number": "978-380-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINKE",
"first_name": "LANCE",
"middle_name": "HARTMUT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-25",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "11156",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11156",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "11156",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "11156",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MA",
"license": "11156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ipswich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.