Individual provider Active NPI

Scott Lingen, PSY.D.

  • Clinical Psychologist
  • Walnut Creek, CA
National Provider Identifier
1972935328
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25867 Issued in CA
Practice address
1470 Maria LN
Suite 480
Walnut Creek, CA 94596-5343
Phone
(925) 322-0850
NPI assigned
Aug 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X PSY25867 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY25867 CA
Clinical Psychologist 103TC0700X PSY25867 CA Primary

Addresses

Primary practice location

1470 Maria LN
Suite 480
Walnut Creek, CA 94596-5343

Mailing address

1470 Maria LN Ste 480
Walnut Creek, CA 94596-5366
Phone (925) 322-0850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140602000247 CA Practitioner - Clinical Psychologist 8022251719 Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1200 Mt Diablo Blvd
Suite 403
Walnut Creek, CA 94596-4890
Phone (925) 322-0850

1470 Maria LN
Suite 480
Walnut Creek, CA 94596-5366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25867CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1972935328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 MARIA LN STE 480",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965366",
            "telephone_number": "925-322-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 MARIA LN",
            "address_2": "SUITE 480",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965343",
            "telephone_number": "925-322-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGEN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY25867",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY25867",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.