Active NPI
Linda Lorene Cline, M.ED., M.S.
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1992824817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 26052
- Practice address
- 3201 N 46TH Dr
Phoenix, AZ 85031-3707 - Phone
- (623) 691-4418
- Fax
- (623) 691-4420
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 26052 | AZ | Primary |
Addresses
Primary practice location
3201 N 46TH Dr
Phoenix, AZ 85031-3707
Mailing address
4301 N 21St St
Unit 47
Phoenix, AZ 85016-5552
Phone (623) 691-4418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 875205 | Medicaid | AZ |
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)
- Not enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26052 | AZ | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992824817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N 21ST ST",
"address_2": "UNIT 47",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165552",
"telephone_number": "623-691-4418",
"fax_number": "623-691-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 N 46TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850313707",
"telephone_number": "623-691-4418",
"fax_number": "623-691-4420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "LINDA",
"middle_name": "LORENE",
"credential": "M.ED., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "26052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "875205",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.