Linda Cuddy Avery, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16940 Issued in CA

Practice address

2447 Santa Clara Ave
Suite 209
Alameda, CA 94501-4575

Phone

(510) 769-9008

Fax

(510) 769-1409

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1467584037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 SANTA CLARA AVE",
            "address_2": "SUITE 209",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014575",
            "telephone_number": "510-769-9008",
            "fax_number": "510-769-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 SANTA CLARA AVE",
            "address_2": "SUITE 209",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014575",
            "telephone_number": "510-769-9008",
            "fax_number": "510-769-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "LINDA",
        "middle_name": "CUDDY",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha K. Austin, BA
• Shawnece R Austin
• Jelani Raynel Avant
• Sydni Avant
• Debra Chantal Avelar-Castaneda
• Savannah Bjork Avila
• Angelina Ariana Aviles
• Klyde Ayala Alvarez
• Karina Isabella Ayala Fernandez
• Jessica Ayala

• Clinical Psychologist in Alameda, CA
• Providers in Alameda, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.

Verify at the official NPI Registry.