Active NPI
Linda G Eldredge, ED.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1710089446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24394
- Practice address
- 4601 Spicewood Springs Rd
BLDG 4 Suite 200
Austin, TX 78759 - Phone
- (512) 467-1376
- Fax
- (512) 467-8658
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 24394 | TX | Primary |
Addresses
Primary practice location
4601 Spicewood Springs Rd
BLDG 4 Suite 200
Austin, TX 78759
Mailing address
4601 Spicewood Springs Rd
BLDG 4 Suite 200
Austin, TX 78759
Phone (512) 467-1376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG95Y | Other | BCBS PROVIDER NUMBER |
Other names 1
- Linda G. Eldredge-Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 14, 2017 through Mar 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Solutions Behavioral Health, PLLC | Clinical | Past | 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.
-
- Clinical Psychologist
- Cedar Park, TX
- NPI 1649824822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1710089446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 SPICEWOOD SPRINGS RD",
"address_2": "BLDG 4 SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-467-1376",
"fax_number": "512-467-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 SPICEWOOD SPRINGS RD",
"address_2": "BLDG 4 SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-467-1376",
"fax_number": "512-467-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDREDGE",
"first_name": "LINDA",
"middle_name": "G",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "24394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "OOG95Y",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "ELDREDGE-THOMPSON",
"middle_name": "G.",
"credential": "ED.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.