Michael K Linden, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11788 Issued in CA

Practice address

32122 Camino Capistrano
Suite 200
San Juan Capistrano, CA 92675-3734

Phone

(949) 248-7411

Fax

(949) 248-7511

NPI assigned

Dec 29, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 4, 2022 through Oct 4, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Crossroads Institute for Psychotherapy and Assessment, Inc

  • Clinical Psychologist
  • Torrance, CA
  • NPI 1831432806
  NPD (past)
• San Diego Brainworks Psychology & Neuropsychology Services

  • Psychologist
  • San Diego, CA
  • NPI 1427458710
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1760548135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32122 CAMINO CAPISTRANO",
            "address_2": "SUITE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753734",
            "telephone_number": "949-248-7411",
            "fax_number": "949-248-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32122 CAMINO CAPISTRANO",
            "address_2": "SUITE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753734",
            "telephone_number": "949-248-7411",
            "fax_number": "949-248-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEN",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Carly Levine, NP
• Kathleen Marie Levinson
• George Lewis
• Life Center for Health
• Life Spirit Speech Pathology Inc
• Melissa Lino, MSW INTERN
• Nicole Little
• Sarah E Livermore, M.A. MFTI
• Living Better Solutions (Homewatch Caregivers of San Juan Capistrano)
• Carolyn Loder, MFTI

• Clinical Psychologist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.