LINDA LY
NPI 1093188302
Psychologist in San Diego, CA

Active since November 09, 2015PECOS EnrolledAccepts Medicare Assignment
5230 CARROLL CANYON RD, SAN DIEGO, CA 92121(970) 682-4572 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Sep 7, 2022, Jan 16, 2017 and 1 more (4 updates tracked since 2015).

About Linda Ly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDA LY (NPI 1093188302) is an individual psychologist in San Diego, California, licensed in California (35250) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2022).

NPPES Registry Identity

NPI1093188302
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLINDA LY
Location Address5230 CARROLL CANYON RDSan Diego, CA 92121-1778
Mailing Address5230 Carroll Canyon RdSan Diego, CA 92121-1778 · (970) 682-4572
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2022
Enumeration DateNovember 9, 2015
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1093188302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 35250
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5230 CARROLL CANYON RD, San Diego, CA 92121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Linda Ly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941736524
PECOS Enrollment IDI20241205002812
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
5230 CARROLL CANYON RD, #320
SAN DIEGO, CA 92121
Psychologist (Clinical)
5230 CARROLL CANYON RD, STE 100
SAN DIEGO, CA 92121
Social Worker (Clinical)
5230 CARROLL CANYON RD, SUITE 200
SAN DIEGO, CA 92121
Social Worker (Clinical)
5230 CARROLL CANYON RD
SAN DIEGO, CA 92121
Chiropractor
5230 CARROLL CANYON RD, STE 204
SAN DIEGO, CA 92121
Psychologist (Clinical)
5230 CARROLL CANYON RD, STE 100
SAN DIEGO, CA 92121
Chiropractor
5230 CARROLL CANYON RD, #330
SAN DIEGO, CA 92121
Social Worker (Clinical)
5230 CARROLL CANYON RD, SUITE 100
SAN DIEGO, CA 92121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Linda Ly's NPI number?

The NPI number for Linda Ly is 1093188302. It was assigned to this individual provider in the NPPES registry on November 9, 2015.

Where is Linda Ly located?

Linda Ly practices at 5230 Carroll Canyon Rd, San Diego, CA 92121. The listed phone number is (970) 682-4572.

What is Linda Ly's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Linda Ly enrolled in Medicare?

Yes. Linda Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Linda Ly was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.