Individual provider Active NPI

James Linsin, PSY.D.

  • Clinical Psychologist
  • Saint Charles, MO
National Provider Identifier
1609314277
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2002021880 Issued in MO
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

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2002021880MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Lipsitz, PH.D., Inc Clinical CurrentSince Feb 1, 2017 Accepting new patients
Psychological Network, Inc. CurrentSince Feb 1, 2017 Accepting new patients
James RW Linsin PSYD LLC Clinical CurrentSince Dec 11, 2018 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

Verify at the official NPI Registry.