Individual provider Active NPI

Linda L Bacheller, PSY.D/JD

  • Psychologist
  • Aventura, FL
National Provider Identifier
1619301173
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 8056 Issued in FL
Practice address
3150 NE 190TH St Apt 301
Aventura, FL 33180-3176
Phone
(305) 335-8900
NPI assigned
Sep 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 8056 FL Primary

Addresses

Primary practice location

3150 NE 190TH St Apt 301
Aventura, FL 33180-3176

Mailing address

3150 NE 190TH St Apt 301
Aventura, FL 33180-3176
Phone (305) 335-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 8056FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1619301173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 NE 190TH ST APT 301",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803176",
            "telephone_number": "305-335-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 NE 190TH ST APT 301",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803176",
            "telephone_number": "305-335-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHELLER",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D/JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; 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.