Active NPI
James Linsin, PSY.D.
- Clinical Psychologist
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2002021880
- Practice address
- 58 Portwest CT
Saint Charles, MO 63303-5985 - Phone
- (636) 916-5800
- Fax
- (636) 916-0146
- NPI assigned
- Feb 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2002021880 | MO | Primary |
Addresses
Primary practice location
58 Portwest CT
Saint Charles, MO 63303-5985
Mailing address
58 Portwest CT
Saint Charles, MO 63303-5985
Phone (636) 916-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170214002727 | MO | Practitioner - Clinical Psychologist | 1355624479 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Wright State University Boonshoft School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
777 S New Ballas Rd
Suite 129W
Saint Louis, MO 63141-8745
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002021880 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a. Lipsitz, PH.D., Inc | Clinical | Current | Accepting new patients |
| Psychological Network, Inc. | Current | Accepting new patients | |
| James RW Linsin PSYD LLC | Clinical | Current | Accepting new patients |
Locations
58 Portwest Ct
Saint Charles, MO 63303
Phone (636) 916-5800
522 N New Ballas Rd
Ste 163
Saint Louis, MO 63141
Phone (314) 432-3954
777 S New Ballas Rd
Ste 129W
Saint Louis, MO 63141
Phone (314) 408-7676
Organizations & group practices 3
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": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1609314277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PORTWEST CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035985",
"telephone_number": "636-916-5800",
"fax_number": "636-916-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PORTWEST CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035985",
"telephone_number": "636-916-5800",
"fax_number": "636-916-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINSIN",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-03",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2002021880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.