Individual provider Active NPI

Debby Alisha Linde, M.D.

  • Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1619029642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101057582 Issued in VA
Practice address
3913 Old Lee Hwy
31C
Fairfax, VA 22030-2433
Phone
(703) 278-0444
Fax
(703) 277-1962
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0101057582 VA Primary

Addresses

Primary practice location

3913 Old Lee Hwy
31C
Fairfax, VA 22030-2433

Mailing address

3913 Old Lee Hwy
31C
Fairfax, VA 22030-2433
Phone (703) 278-0444

Other identifiers 1

IdentifierTypeStateIssuer
2002339OtherVACIGNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 20, 2015 through Jun 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101057582VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linde Physical Therapy Inc. PastSince Aug 18, 2003 Accepting new patients

Organizations & group practices 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619029642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 OLD LEE HWY",
            "address_2": "31C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302433",
            "telephone_number": "703-278-0444",
            "fax_number": "703-277-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 OLD LEE HWY",
            "address_2": "31C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302433",
            "telephone_number": "703-278-0444",
            "fax_number": "703-277-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDE",
        "first_name": "DEBBY",
        "middle_name": "ALISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101057582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "2002339",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.