Linda W Suriyakham, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3158 Issued in CT

Practice address

14 Masons Island Rd Unit 4
Mystic, CT 06355-2958

Phone

(860) 245-9222

NPI assigned

Mar 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Stonington Psychology LLC

  • Clinical Psychologist
  • Mystic, CT
  • NPI 1659627453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1720354491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FLANDERS RD",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782413",
            "telephone_number": "860-245-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MASONS ISLAND RD UNIT 4",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552958",
            "telephone_number": "860-245-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIYAKHAM",
        "first_name": "LINDA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Irwin Steinberg, DMD
• Katherine Stockwell, PTA
• Stoneridge Senior Care LLC (Avalon Health Care Center at StoneRidge)
• Stonington Psychology LLC
• James Francis Sullivan, M.D.
• Lindsay Evelyn Swanberry, NP
• Carl Swanson II, PHARMD, RPH
• Pracheta Talati, DPT
• Beth Tannatt, DPT
• Christina Taylor, COTA/L

• Clinical Psychologist in Mystic, CT
• Providers in Mystic, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.

Verify at the official NPI Registry.