Individual provider Active NPI

Lisa M. McGill Linson, PH.D.

  • Clinical Psychologist
  • North Little Rock, AR
National Provider Identifier
1811047160
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06-40P Issued in AR
Practice address
2200 Fort Roots Dr
Building 170 - 2H132
North Little Rock, AR 72114
Phone
(501) 257-3317
Fax
(501) 257-3125
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06-40P AR Primary

Addresses

Primary practice location

2200 Fort Roots Dr
Building 170 - 2H132
North Little Rock, AR 72114

Mailing address

33 Congressional Cir
Little Rock, AR 72210-2851
Phone (501) 225-3226

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

LicenseStateTypeSpecialty
06-40PARMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1811047160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CONGRESSIONAL CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722102851",
            "telephone_number": "501-225-3226",
            "fax_number": "501-257-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "address_2": "BUILDING 170 - 2H132",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-257-3317",
            "fax_number": "501-257-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSON",
        "first_name": "LISA",
        "middle_name": "M. MCGILL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "06-40P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.