Individual provider Active NPI

Robert Stewart Lininger, PH.D.

  • Psychologist
  • Cambridge, MN
National Provider Identifier
1851462907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP0173 Issued in MN
Practice address
133 2ND Ave SW
Cambridge, MN 55008-1552
Phone
(763) 689-9407
Fax
(763) 552-0164
NPI assigned
Nov 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP0173 MN Primary

Addresses

Primary practice location

133 2ND Ave SW
Cambridge, MN 55008-1552

Mailing address

825 Ashland St S
Cambridge, MN 55008-2110
Phone (763) 689-5250

Other identifiers 4

IdentifierTypeStateIssuer
978381001195OtherMNPREFERRED ONE
61-04274OtherMNMEDICA
116171OtherMNU CARE
4H002LIOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20050422000847 MN Practitioner - Clinical Psychologist 1658319298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Based Therapy AssociatesGroup PAC ID 2264432681, 12 clinicians

Practice addresses (Care Compare)

199 Coon Rapids Blvd NW
Suite 306
Coon Rapids, MN 55433-5861
Phone (763) 780-1520

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Based Therapy Associates CurrentSince Jun 1, 2012 Accepting new patients
Family Based Therapy Associates Past Accepting new patients

Locations

237 2nd Ave SW
Cambridge, MN 55008
Phone (651) 245-5217

133 2nd Ave SW
Cambridge, MN 55008
Phone (763) 689-9407

237 2nd Ave SW
Ste 117
Cambridge, MN 55008
Phone (763) 200-3411

199 Coon Rapids Blvd NW
Ste 306
Minneapolis, MN 55433
Phone (763) 780-1520

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": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851462907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 ASHLAND ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550082110",
            "telephone_number": "763-689-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 2ND AVE SW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081552",
            "telephone_number": "763-689-9407",
            "fax_number": "763-552-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LININGER",
        "first_name": "ROBERT",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "978381001195",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "61-04274",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "116171",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4H002LI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.