Individual provider Active NPI

Julia Lin, MD

  • Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1518040906
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00047584 Issued in WA
Practice address
615 N 2ND St
Tacoma, WA 98403-2232
Phone
(360) 754-4539
Fax
(360) 352-0831
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00047584 WA Primary

Addresses

Primary practice location

615 N 2ND St
Tacoma, WA 98403-2232

Mailing address

3634 N Stevens St
Tacoma, WA 98407-5600
Phone (360) 628-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000045 WA Practitioner - Psychiatry 4981786860 Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

615 N 2ND St
Tacoma, WA 98403-2232
Phone (360) 754-4539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00047584WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wagaman Enterprises Inc PastSince Mar 18, 2010 Accepting new patients
Aleph Center, P.L.L.C. Psychiatry PastSince Mar 1, 1999 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1518040906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 N STEVENS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984075600",
            "telephone_number": "360-628-0225",
            "fax_number": "360-352-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 2ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032232",
            "telephone_number": "360-754-4539",
            "fax_number": "360-352-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-05-28",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00047584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.