Active NPI
Linda Marie Leftwich, PH.D.
- Clinical Psychologist
- Hendersonville, TN
National Provider Identifier
1730289307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1483
- Practice address
- 509 Jones LN
Hendersonville, TN 37075-8514 - Phone
- (615) 822-9170
- Fax
- (615) 822-9997
- NPI assigned
- Sep 24, 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 | 1483 | TN | Primary |
Addresses
Primary practice location
509 Jones LN
Hendersonville, TN 37075-8514
Mailing address
509 Jones LN
Hendersonville, TN 37075-8514
Phone (615) 822-9170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175817 | Other | TN | COMPSYCH |
| 0119920 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 015493 | Other | TN | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000168 | TN | Practitioner - Clinical Psychologist | 5092989194 | Practice locations: Hendersonville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Vanderbilt University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
509 Jones LN
Hendersonville, TN 37075-8514
Phone (615) 822-9170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1483 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730289307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 JONES LN",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758514",
"telephone_number": "615-822-9170",
"fax_number": "615-822-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 JONES LN",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758514",
"telephone_number": "615-822-9170",
"fax_number": "615-822-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFTWICH",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "1483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "175817",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0119920",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "015493",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.