Active NPI
Li Ting Lin, PHD
- Psychologist
- Glastonbury, CT
National Provider Identifier
1750199287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 026801
- Practice address
- 2389 Main St Ste 100
Glastonbury, CT 06033-4617 - Phone
- (332) 334-6843
- NPI assigned
- Dec 30, 2024
- Last updated
- Jul 22, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 004913 | CT | |
| Psychologist | 103T00000X | 026801 | NY | Primary |
Addresses
Primary practice location
2389 Main St Ste 100
Glastonbury, CT 06033-4617
Mailing address
2389 Main St Ste 100
Glastonbury, CT 06033-4617
Phone (332) 334-6843
Other practice location 1
3539 Douglas Dr N
Minneapolis, MN 55422-2415
Phone (612) 642-1355
Other names 1
- Ada Lin
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004913 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Lisa E-Therapy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1750199287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2389 MAIN ST STE 100",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334617",
"telephone_number": "332-334-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2389 MAIN ST STE 100",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334617",
"telephone_number": "332-334-6843"
}
],
"practiceLocations": [
{
"address_1": "3539 Douglas Dr N",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554222415",
"country_code": "US",
"telephone_number": "612-642-1355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "LI TING",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "004913",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "026801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADA",
"last_name": "LIN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Glastonbury, CT
- Life in Depth, LLC (Life in Depth Counseling)
- Life Worth Living Christian Counseling, PLLC
- Light Within Therapy PLLC
- Barbara Lillibridge
- Bonnie Lillis, BA
- Linda S Mittenthal LCSW, LLC
- Martin Robert Lindower, O.D.
- Christina Linnea Lindsay, APRN, PMHNP-BC
- Jayme Lindsey, RN, IBCLC
- Ann Linskey, PHARMD, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.