Linda Louise Thede, PSYD, L.P.C., L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004148 Issued in CO

Practice address

8415 Tiaga TRL
Colorado Springs, CO 80919-4531

Phone

(719) 473-9200

Fax

(719) 473-9203

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Whole Kids Co. PLLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1932617792
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1497904908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 TIAGA TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194531",
            "telephone_number": "719-473-9200",
            "fax_number": "719-473-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 TIAGA TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194531",
            "telephone_number": "719-473-9200",
            "fax_number": "719-473-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEDE",
        "first_name": "LINDA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSYD, L.P.C., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0005202",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30231582",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Urology Center of Colorado PC
• The Wellness Effect, LLC
• The Wellness Institute, LLC
• The Young Men'S Christian Association of the Pikes Peak Region
• Brittanie Thebeau, LPC
• Thedrjohn Com LLC
• Aimee Theelen, BSN, RN
• David P Theis, M.D.
• John Charles Theisen, PHARMD
• Matthew Al Thelen, PSYD

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.