Active NPI
Joy Y. Lin, PSYD
- Clinical Psychologist
- North Hills, CA
National Provider Identifier
1487300968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 111752
- Practice address
- 16111 Plummer St BLDG 10
North Hills, CA 91343-2036 - Phone
- (818) 891-7711
- NPI assigned
- Feb 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Clinical Psychologist | 103TC0700X | 111752 | IA | Primary |
Addresses
Primary practice location
16111 Plummer St BLDG 10
North Hills, CA 91343-2036
Mailing address
1100 Ocean Park Blvd
Santa Monica, CA 90405-4704
Phone (917) 579-4906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111752 | Other | IA | BOARD OF PSYCHOLOGY, BUREAU OF PROFESSIONAL LICENSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | joy.lin2@va.gov | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111752 | IA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Administration | 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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Sepulveda, CA
- NPI 1740537299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1487300968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OCEAN PARK BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904054704",
"telephone_number": "917-579-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16111 PLUMMER ST BLDG 10",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913432036",
"telephone_number": "818-891-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "JOY",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "111752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGY, BUREAU OF PROFESSIONAL LICENSURE",
"identifier": "111752",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "joy.lin2@va.gov",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Mail",
"address_1": "16111 Plummer St Bldg 10",
"city": "North Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913432036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.