Linda Altes, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY11113 Issued in CA

Practice address

4350 Executive Dr
Ste. 255
San Diego, CA 92121-2115

Phone

(858) 824-1914

Fax

(858) 824-1916

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1417947235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 EXECUTIVE DR",
            "address_2": "STE. 255",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212115",
            "telephone_number": "858-824-1914",
            "fax_number": "858-824-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 EXECUTIVE DR",
            "address_2": "STE. 255",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212115",
            "telephone_number": "858-824-1914",
            "fax_number": "858-824-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTES",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance L Altenau, M.D.
• Tina Marie Altenau, RN, NP-BC
• Altered States Research Group, Inc.
• Alternative Healing Network, Inc.
• Alternative Teaching Strategy Center
• Zahra Amir Althalmi
• Altheadx, Inc.
• Altignis Campus, LLC
• Carole Line Altina, LMT
• Ryan Heath Altman, L.AC.

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.

Verify at the official NPI Registry.