Individual provider Active NPI

Linda C. Polin, PSY.D.

  • Clinical Psychologist
  • Spring House, PA
National Provider Identifier
1972680122
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003178L Issued in PA
Practice address
1012 Bethlehem Pike
Spring House, PA 19477-0086
Phone
(215) 646-5349
NPI assigned
Nov 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS003178L PA
Clinical Psychologist 103TC0700X PS003178L PA Primary

Addresses

Primary practice location

1012 Bethlehem Pike
Spring House, PA 19477-0086

Mailing address

210 Clover LN
Ambler, PA 19002-2401
Phone (215) 646-5349

Other identifiers 3

IdentifierTypeStateIssuer
2350978000OtherPAPERSONAL CHOICE
0004528039OtherPAAETNA
101331OtherPABLUE SHIELD

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972680122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLOVER LN",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022401",
            "telephone_number": "215-646-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 BETHLEHEM PIKE",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770086",
            "telephone_number": "215-646-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIN",
        "first_name": "LINDA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003178L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003178L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2350978000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004528039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "101331",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring House, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.