Individual provider Active NPI

Linda Polo, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Denton, TX
National Provider Identifier
1467503540
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2-2491 Issued in TX
Practice address
207 W Hickory St
Suite 306
Denton, TX 76201-4156
Phone
(940) 565-1818
Fax
(940) 387-8378
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 2-2491 TX Primary
Psychologist 103T00000X 2-2491 TX

Addresses

Primary practice location

207 W Hickory St
Suite 306
Denton, TX 76201-4156

Mailing address

207 W Hickory St
Suite 306
Denton, TX 76201-4156
Phone (940) 565-1818

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-2491TXMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467503540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST",
            "address_2": "SUITE 306",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014156",
            "telephone_number": "940-565-1818",
            "fax_number": "940-387-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST",
            "address_2": "SUITE 306",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014156",
            "telephone_number": "940-565-1818",
            "fax_number": "940-387-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO",
        "first_name": "LINDA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "2-2491",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-2491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.