Linda A. Gonder-Frederick, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002116 Issued in VA

Practice address

4TH Hospital Dr
Charlottesville, VA 22908-0001

Phone

(434) 924-5314

Fax

(434) 924-1825

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1962522607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH HOSPITAL DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-5314",
            "fax_number": "434-924-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDER-FREDERICK",
        "first_name": "LINDA",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007704836",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diego Alonso Gomez, MD
• Rita Gomez
• Roberto Ariel Gomez, M.D.
• Nathan Thomas Gompers, DDS
• Mark A Gonce, M.D.
• Joseph Charles Gonnella, MD
• Dylan Gonzales
• Sheddie Gonzalez-Castillo, MD
• Luisa Marina Gonzalez, MD
• Marilyn Lucia Gonzalez, RPH

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.