Linda L. Hines, PH.D., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006069 Issued in IL

Legal business name

LINDA L. HINES, PH.D., PC

Practice address

2213 Lakeside Dr
Bannockburn, IL 60015-1265

Phone

(847) 604-9441

Fax

(847) 604-9445

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Linda Hines, PH.D.

Title

President

Phone

(847) 604-9441

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Lakeside Psychology & Counseling Srvcs. Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin P Eisenberg, LCSW

  • Clinical Social Worker
  • Bannockburn, IL
  • NPI 1336250869

  Clinical

  NPD (past)
• Karen Marie Holub, LCPC

  • Professional Counselor
  • Bannockburn, IL
  • NPI 1497876155

  Professional

  NPD (past)
• Sharon Judith Strauss, PHD

  • Psychologist
  • Bannockburn, IL
  • NPI 1154549764
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1487872735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-604-9441",
            "fax_number": "847-604-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-604-9441",
            "fax_number": "847-604-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA L. HINES, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-604-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.0066190",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071005286",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005286",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006069",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004060",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003472",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036060099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKESIDE PSYCHOLOGY & COUNSELING SERVICES",
            "identifier": "337410",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4919478",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Psychology & Counseling Srvcs.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernard Eric Lakemaker, DO
• Laura Margaret Landgraf, PA-C
• Eli Lavie, MD
• Hannah Leavitt, DNP-C
• Charles Lettvin, MD
• Lindenhurst Radiation Oncology Center Inc
• David D Lloyd, MA, LPC, CADC
• Justin Lohrens, DPT
• William Love, MPT
• Karolina Woloszyn Machnica, DO

• All providers in Bannockburn, IL
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.