Provider Demographics
NPI:1427529965
Name:JAMES RW LINSIN PSYD LLC
Entity type:Organization
Organization Name:JAMES RW LINSIN PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINCIAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROSS WALCOTT
Authorized Official - Last Name:LINSIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:636-591-1974
Mailing Address - Street 1:522 N NEW BALLAS RD STE 163
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6815
Mailing Address - Country:US
Mailing Address - Phone:636-591-1974
Mailing Address - Fax:314-997-8874
Practice Address - Street 1:522 N NEW BALLAS RD STE 163
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6815
Practice Address - Country:US
Practice Address - Phone:636-591-1974
Practice Address - Fax:314-997-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty