Active NPI
Linda Suzanne Luther-Starbird, PHD
- Clinical Psychologist
- Bend, OR
National Provider Identifier
1467431510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2778
- Practice address
- 371 SW Upper Terrace Dr Ste 3
Bend, OR 97702 - Phone
- (503) 224-9517
- Fax
- (844) 274-0521
- NPI assigned
- Jan 16, 2006
- Last updated
- Jun 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2778 | OR | Primary |
Addresses
Primary practice location
371 SW Upper Terrace Dr Ste 3
Bend, OR 97702
Mailing address
PO Box 1071
Bend, OR 97709-1071
Phone (503) 224-9517
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07014285 | Medicaid | CO | |
| 035504 | Other | CO | VALUE OPTIONS - CHN |
| 0005107363 | Other | CO | AETNA |
| 42105722 | Medicaid | CO | |
| 9129 | Other | CO | BCBS |
| 049696 | Other | CO | HBS |
Other names 1
- Dr. Linda S Luther-Starbird
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Bend, OR 97703
Phone (970) 712-9224
PO Box
Suite 1071
Bend, OR 97709-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2778 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Mental Health Services | Clinical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1467431510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1071",
"city": "BEND",
"state": "OR",
"postal_code": "977091071",
"telephone_number": "503-224-9517",
"fax_number": "844-274-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 SW UPPER TERRACE DR STE 3",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "503-224-9517",
"fax_number": "844-274-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER-STARBIRD",
"first_name": "LINDA",
"middle_name": "SUZANNE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07014285",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS - CHN",
"identifier": "035504",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005107363",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42105722",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9129",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HBS",
"identifier": "049696",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "LUTHER-STARBIRD",
"middle_name": "S",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.