LINDER PSYCHIATRIC GROUP, INC. (NPI# 1851569784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851569784 |
| Entity Type | Organization |
| Organization Name | LINDER PSYCHIATRIC GROUP, INC. |
| Practice Address |
193 Blue Ravine Rd Suite 170 Folsom CA 95630-4756 |
| Practice Telephone | 9166080714 |
| Practice Fax Number | 9166080717 |
| Mailing Telephone | 9166080714 |
| Mailing Fax Number | 9166080717 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | MRS. RENAE LINDER (VP) |
| Authorized Official Telephone | 9166080714 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 18464 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC 32032 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC 31130 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC 44824 | CA | Behavioral Health & Social Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A53024 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A69812 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A69812 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A53024 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
193 BLUE RAVINE RD SUITE 170 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821010737 | Evelyn Dorothy Marios | Marriage & Family Therapist | 193 Blue Ravine Rd, Suite 170, Folsom, CA 95630-4756 | 2006-07-23 |
| 1467964023 | Kristina Lynn Rockholt | Marriage & Family Therapist | 193 Blue Ravine Rd, Folsom, CA 95630-4756 | 2017-11-03 |
| 1447591425 | Kasey Marie Cardinale | Marriage & Family Therapist | 193 Blue Ravine Rd, #220, Folsom, CA 95630-4756 | 2013-03-15 |
| 1700126240 | Building Foundations Counseling Center | Community/Behavioral Health | 193 Blue Ravine Rd, Suite #220, Folsom, CA 95630-4756 | 2013-02-20 |
| 1285918508 | Jordan Lee Mulder | Psychologist | 193 Blue Ravine Rd, #170, Folsom, CA 95630-4756 | 2011-10-05 |
| 1942440722 | Emiko Okabe | Acupuncturist | 193 Blue Ravine Rd, Suite 245, Folsom, CA 95630-4756 | 2009-03-06 |
| 1851545214 | Lisa Hopson | Marriage & Family Therapist | 193 Blue Ravine Rd, Suite 170, Folsom, CA 95630-4756 | 2008-11-12 |
| 1811152861 | Arthur Robert Magana | Psychologist | 193 Blue Ravine Rd, Suite 170, Folsom, CA 95630-4758 | 2008-07-18 |
| 1558492140 | Steven Edward Schmitt | Social Worker | 193 Blue Ravine Rd, Suite 170, Folsom, CA 95630-4756 | 2007-03-08 |
| 1306986948 | Steven Wayne Finnell | Chiropractor | 193 Blue Ravine Rd, Suite #245, Folsom, CA 95630-4756 | 2007-02-06 |
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|---|---|---|---|---|
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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|---|---|---|---|---|
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| 1447371224 | Michael Lin | Psychiatry & Neurology | 1000 River Rock Dr, Suite 210, Folsom, CA 95630-2093 | 2007-04-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.