Active NPI
Linder Psychiatric Group, Inc.
- Child & Adolescent Psychiatry Physician
- Folsom, CA
National Provider Identifier
1851569784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A53024
- Legal business name
- LINDER PSYCHIATRIC GROUP, INC.
- Practice address
- 193 Blue Ravine Rd
Suite 170
Folsom, CA 95630-4756 - Phone
- (916) 608-0714
- Fax
- (916) 608-0717
- NPI assigned
- Feb 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Renae Linder, L.C.S.W.
- Title
- VP
- Phone
- (916) 608-0714
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 18464 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 32032 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 31130 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 44824 | CA | |
| Psychiatry Physician | 2084P0800X | A53024 | CA | |
| Psychiatry Physician | 2084P0800X | A69812 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A53024 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A69812 | CA |
Addresses
Primary practice location
193 Blue Ravine Rd
Suite 170
Folsom, CA 95630-4756
Mailing address
193 Blue Ravine Rd
Suite 170
Folsom, CA 95630-4756
Phone (916) 608-0714
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Folsom, CA
- NPI 1295890333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260835200000",
"number": "1851569784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 BLUE RAVINE RD",
"address_2": "SUITE 170",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304756",
"telephone_number": "916-608-0714",
"fax_number": "916-608-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 BLUE RAVINE RD",
"address_2": "SUITE 170",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304756",
"telephone_number": "916-608-0714",
"fax_number": "916-608-0717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDER PSYCHIATRIC GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-13",
"last_updated": "2009-12-15",
"status": "A",
"authorized_official_last_name": "LINDER",
"authorized_official_first_name": "RENAE",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "916-608-0714",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 18464",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 32032",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 31130",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 44824",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A53024",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A69812",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A53024",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A69812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.