Individual provider Active NPI

Linda Suzanne Luther-Starbird, PHD

  • Clinical Psychologist
  • Bend, OR
National Provider Identifier
1467431510
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2778 Issued in OR
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07014285MedicaidCO
035504OtherCOVALUE OPTIONS - CHN
0005107363OtherCOAETNA
42105722MedicaidCO
9129OtherCOBCBS
049696OtherCOHBS

Other names 1

  • Dr. Linda S Luther-Starbird Other name

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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
2778ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.