Individual provider Active NPI

Terri Ann Linden, PHD

  • Psychologist
  • Albany, NY
National Provider Identifier
1477578102
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011335 Issued in NY
Practice address
1941 Western Ave Apt 1204
Albany, NY 12203-7012
Phone
(518) 368-5161
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011335 NY Primary

Addresses

Primary practice location

1941 Western Ave Apt 1204
Albany, NY 12203-7012

Mailing address

11 New Karner Rd Unit 217
Guilderland, NY 12084-6210
Phone (518) 218-6058

Other practice location 1

1941 Western Ave Apt 1204
Albany, NY 12203-7012
Phone (518) 368-5161

Other practice location 2

3 Lear Jet Ln
Suite 105
Latham, NY 12110-2314
Phone (518) 785-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20210211001740 NY Practitioner - Clinical Psychologist 9830504406 Practice locations: Guilderland, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Florida State University College of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Guilderland, NY 12084
Phone (518) 218-6058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
011335NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Terri Linden, PHD CurrentSince Sep 5, 2022 Accepting new patients
Behavioral Health Specialists, PLLC Past Accepting new patients
Center for Disability Services Past Accepting new patients

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1477578102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NEW KARNER RD UNIT 217",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120846210",
            "telephone_number": "518-218-6058",
            "fax_number": "877-861-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 WESTERN AVE APT 1204",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037012",
            "telephone_number": "518-368-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Western Ave Apt 1204",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122037012",
            "country_code": "US",
            "telephone_number": "518-368-5161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Lear Jet Ln",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102314",
            "country_code": "US",
            "telephone_number": "518-785-3614",
            "fax_number": "518-785-8786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDEN",
        "first_name": "TERRI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.