Active NPI
Patrick Edwin Link, MD, MPH
- Psychiatry Physician
- Carrboro, NC
National Provider Identifier
1457471161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A91545
- Practice address
- 103 W Weaver St Ste 6C
Carrboro, NC 27510-6003 - Phone
- (310) 882-3466
- Fax
- (310) 882-3466
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A91545 | CA | Primary |
Addresses
Primary practice location
103 W Weaver St Ste 6C
Carrboro, NC 27510-6003
Mailing address
103 W Weaver St Ste 6C
Carrboro, NC 27510-6003
Phone (310) 882-3466
Other practice location 1
337 N Vineyard Ave Ste 338
Ontario, CA 91764-5673
Phone (310) 882-3466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A915450 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91545 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Psychiatry, Inc. | Psychiatry | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1457471161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W WEAVER ST STE 6C",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275106003",
"telephone_number": "310-882-3466",
"fax_number": "310-882-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W WEAVER ST STE 6C",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275106003",
"telephone_number": "310-882-3466",
"fax_number": "310-882-3466"
}
],
"practiceLocations": [
{
"address_1": "337 N Vineyard Ave Ste 338",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917645673",
"country_code": "US",
"telephone_number": "310-882-3466",
"fax_number": "310-882-3466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINK",
"first_name": "PATRICK",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A91545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A915450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.