Individual provider Active NPI

Linda E Whittington-Clark, PHD

  • Psychologist
  • Toledo, OH
National Provider Identifier
1801922026
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4131 Issued in OH
Practice address
2525 W Bancroft St
Toledo, OH 43607-1311
Phone
(419) 578-2525
Fax
(419) 536-9220
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 4131 OH
Adult Development & Aging Psychologist 103TA0700X 4131 OH
Counseling Psychologist 103TC1900X 4131 OH
Clinical Child & Adolescent Psychologist 103TC2200X 4131 OH
Exercise & Sports Psychologist 103TE1100X 4131 OH
Family Psychologist 103TF0000X 4131 OH
Forensic Psychologist 103TF0200X 4131 OH
Health Service Psychologist 103TH0100X 4131 OH
Intellectual & Developmental Disabilities Psychologist 103TM1800X 4131 OH
Group Psychotherapy Psychologist 103TP2701X 4131 OH
Rehabilitation Psychologist 103TR0400X 4131 OH
Psychologist 103T00000X 4131 OH Primary

Addresses

Primary practice location

2525 W Bancroft St
Toledo, OH 43607-1311

Mailing address

2525 W Bancroft St
Toledo, OH 43607-1311
Phone (419) 578-2525

Other identifiers 1

IdentifierTypeStateIssuer
0607749MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20111221000709 OH Practitioner - Clinical Psychologist 9133394273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 W Bancroft St
Toledo, OH 43607-1311
Phone (419) 578-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4131OHMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Whittington-Clark Current Accepting new patients

Locations

2525 W Bancroft St
Toledo, OH 43607
Phone (419) 322-6661

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1801922026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071311",
            "telephone_number": "419-578-2525",
            "fax_number": "419-536-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071311",
            "telephone_number": "419-578-2525",
            "fax_number": "419-536-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON-CLARK",
        "first_name": "LINDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "OH",
            "license": "4131",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0607749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.