DR. ELLEN JIA-LING LIN PH.D.
NPI 1245477074
Psychologist in San Jose, CA

Active since January 15, 2009Opted out of Medicare · through Dec 5, 2027
1132 MCKENDRIE ST, SAN JOSE, CA 95126(408) 829-6508 Get Directions Write a Review

NPPES record last updated: March 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ellen Jia-ling Lin Ph.d. NPPES

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

DR. ELLEN JIA-LING LIN PH.D. (NPI 1245477074) is an individual psychologist in San Jose, California, licensed in California (PSY19278) and active in the NPI registry since January 2009. She has opted out of Medicare through December 5, 2027.

NPPES Registry Identity

NPI1245477074
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELLEN JIA-LING LINCredential: PH.D.
Location Address1132 MCKENDRIE STSan Jose, CA 95126-1406
Mailing Address1132 Mckendrie StSan Jose, CA 95126-1406 · (408) 828-8375
Sole ProprietorYes
Enumeration DateJanuary 15, 2009
Last NPPES UpdateMarch 14, 2020
NPPES CertifiedMarch 14, 2020
NPI 1245477074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY19278
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.
1132 MCKENDRIE ST, San Jose, CA 95126

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ellen Jia-ling Lin Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 5, 2023 through December 5, 2027.

Opt-Out Effective DateDecember 5, 2023
Opt-Out In Effect ThroughDecember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
1132 MCKENDRIE ST
SAN JOSE, CA 95126
Social Worker (Clinical)
1132 MCKENDRIE ST
SAN JOSE, CA 95126
Psychologist (Clinical)
1132 MCKENDRIE ST
SAN JOSE, CA 95126
Psychologist
1132 MCKENDRIE ST
SAN JOSE, CA 95126
Behavior Technician
1132 MCKENDRIE ST
SAN JOSE, CA 95126
Marriage & Family Therapist
1132 MCKENDRIE ST
SAN JOSE, CA 95126
Counselor (Professional)
1132 MCKENDRIE ST
SAN JOSE, CA 95126
Counselor (Mental Health)
1132 MCKENDRIE ST
SAN JOSE, CA 95126

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 Ellen Lin's NPI number?

The NPI number for Ellen Lin is 1245477074. It was assigned to this individual provider in the NPPES registry on January 15, 2009.

Where is Ellen Lin located?

Ellen Lin practices at 1132 Mckendrie St, San Jose, CA 95126. The listed phone number is (408) 829-6508.

What is Ellen Lin's specialty?

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

Is Ellen Lin enrolled in Medicare?

No. Ellen Lin has opted out of Medicare through December 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ellen Lin was last updated on March 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.