Individual provider Active NPI

Linda Gail Munson, D.O.

  • Psychiatry Physician
  • Valparaiso, IN
National Provider Identifier
1477542561
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
02002768A Issued in IN
Practice address
601 Wall St
Porter Starke Services
Valparaiso, IN 46383-2512
Phone
(219) 531-3662
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 02002768A IN Primary

Addresses

Primary practice location

601 Wall St
Porter Starke Services
Valparaiso, IN 46383-2512

Mailing address

429 N Oak St
Westville, IN 46391-9559

Other identifiers 1

IdentifierTypeStateIssuer
200338090MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmunson@porterstarke.direct.smartcarenet.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001387 IN Practitioner - Psychiatry 5698674687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Midwestern University, Chicago College of Osteopathic Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Porter-Starke Services IncGroup PAC ID 1951293554, 44 clinicians

Practice addresses (Care Compare)

601 Wall St
Valparaiso, IN 46383-2512
Phone (574) 772-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02002768AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc. CurrentSince May 1, 2016 Accepting new patients
Porter-Starke Services Inc. CurrentSince Feb 9, 2004 Accepting new patients
Porter-Starke Services Inc. CurrentSince Feb 9, 2004 Accepting new patients
Healthlinc, Inc CurrentSince May 1, 2016 Accepting new patients

Locations

1001 S Edgewood Dr
Ste 1
Knox, IN 46534
Phone (574) 772-4040

104 E Culver Rd
Knox, IN 46534
Phone (574) 772-7400

3176 Lancer St
Portage, IN 46368
Phone (219) 762-7318

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

Interoperability endpoints

  • Direct secure messaging: lmunson@porterstarke.direct.smartcarenet.com

Organizations & group practices 5

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1477542561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N OAK ST",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALL ST",
            "address_2": "PORTER STARKE SERVICES",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832512",
            "telephone_number": "219-531-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "LINDA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02002768A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338090",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmunson@porterstarke.direct.smartcarenet.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 Wall St",
            "address_2": "Porter Starke Services",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463832512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.