Organization Active NPI

Dr. Linda Jovanovic LLC

  • Clinical Psychologist
  • Grass Valley, CA
National Provider Identifier
1811587355
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. LINDA JOVANOVIC LLC
Practice address
204 W Main St Ste 115
Grass Valley, CA 95945-4710
Phone
(530) 446-1930
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Dr. Linda Susan Jovanovic, PHDNPI 1821299744
Title
Psychologist
Phone
(530) 446-1930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

204 W Main St Ste 115
Grass Valley, CA 95945-4710

Mailing address

234 Cornwall Ave
Grass Valley, CA 95945-7117
Phone (530) 446-1930

National Provider Directory

National Provider Directory

Locations

204 W Main St
Ste 115
Grass Valley, CA 95945
Phone (530) 432-6603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1811587355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CORNWALL AVE",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457117",
            "telephone_number": "530-446-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST STE 115",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454710",
            "telephone_number": "530-446-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LINDA JOVANOVIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "JOVANOVIC",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "530-446-1930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.