Individual provider Active NPI

Ana F. Linares, PSYD

  • Clinical Psychologist
  • Alpharetta, GA
National Provider Identifier
1447323365
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003995 Issued in GA
Practice address
13611 Weycroft Cir
Alpharetta, GA 30004-8528
Phone
(312) 330-4855
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071007700 IL
Clinical Psychologist 103TC0700X PSY003995 GA Primary

Addresses

Primary practice location

13611 Weycroft Cir
Alpharetta, GA 30004-8528

Mailing address

13611 Weycroft Cir
Alpharetta, GA 30004-8528
Phone (312) 330-4855

Other practice location 1

954 W Washington Blvd
Suite 720
Chicago, IL 60607-2224
Phone (708) 954-0206

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY003995GAMDClinical Psychologist
071007700ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1447323365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 WEYCROFT CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048528",
            "telephone_number": "312-330-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 WEYCROFT CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048528",
            "telephone_number": "312-330-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "954 W Washington Blvd",
            "address_2": "Suite 720",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072224",
            "country_code": "US",
            "telephone_number": "708-954-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINARES",
        "first_name": "ANA",
        "middle_name": "F.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007700",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.