Linda M Terry, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00652800 Issued in NJ

Practice address

1032 Revere Ave
Trenton, NJ 08629-2712

Phone

(609) 334-7160

NPI assigned

Dec 31, 2021

Last updated

Feb 11, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Monumental Health

  • Psychologist
  • Hamilton, NJ
  • NPI 1396454542
  NPD Authorized official

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1801557954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33048",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086293048",
            "telephone_number": "609-434-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 REVERE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086292712",
            "telephone_number": "609-334-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00652800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanisha Kadene Taylor, M.D.
• Elizabeth Tedeschi, LAC
• Zaneta Terepka, PA
• Despina Terris, MD
• Terry House
• Tiffany Terry, LPN
• Meryem Kubra Terzioglu, M.D.
• Abyot Teshome
• Alicia T Tesoro, MD
• The Arc/Mercer Inc.

• Clinical Psychologist in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.