Active NPI
Elizabeth A Linder, ED.D
- Psychologist
- Lubbock, TX
National Provider Identifier
1487767703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 24601
- Practice address
- 4321 Marsha Sharp Fwy
Lubbock, TX 79407 - Phone
- (806) 797-2139
- Fax
- (806) 797-3105
- NPI assigned
- Aug 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24601 | TX | |
| Psychologist | 103T00000X | 24601 | TX | Primary |
Addresses
Primary practice location
4321 Marsha Sharp Fwy
Lubbock, TX 79407
Mailing address
PO Box 16626
Lubbock, TX 79490-6626
Phone (806) 797-2139
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94095 | Other | TX | FIRST HEALTH |
| 034026701 | Medicaid | TX | |
| 117889100 | Other | TX | FIRSTCARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24601 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger J. Wolcott, M.D., P.a. | 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.
-
- Physical Medicine & Rehabilitation Physician
- Lubbock, TX
- NPI 1356521892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1487767703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16626",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794906626",
"telephone_number": "806-797-2139",
"fax_number": "806-797-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 MARSHA SHARP FWY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79407",
"telephone_number": "806-797-2139",
"fax_number": "806-797-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDER",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "24601",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "24601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "94095",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034026701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "117889100",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.