Linda Kathleen Eisenberg, MA MED LPA LPC PSYA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5041 Issued in OR

Practice address

1130 SW Morrison Suite 250
Portland, OR 97205-2234

Phone

(503) 279-4648

Fax

(503) 223-4846

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Education

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487707642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SW MORRISON SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052234",
            "telephone_number": "503-279-4648",
            "fax_number": "503-223-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SW MORRISON SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052234",
            "telephone_number": "503-279-4648",
            "fax_number": "503-223-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "LINDA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MA MED LPA LPC PSYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "5041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Eisen, BS, MSW, OMD, LAC
• Glenn Miles Eisen, MD
• Jeffrey Curtis Eisen, MD
• Jay David Eisenberg, M.D.
• Lauren Eisenberg
• Todd D Eisenberg, M.D.
• Tricia Lea Eisenbraun, RD, LD
• Sara Eisenfeld, MSW
• Erika Marie Eisenstecken, DPT
• Massarra Eiwaz, B.A.

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.