DR. LINDA W SURIYAKHAM PH.D.
NPI 1720354491
Psychologist - Clinical in Mystic, CT
About Dr. Linda W Suriyakham Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LINDA W SURIYAKHAM PH.D. (NPI 1720354491) is an individual clinical provider in Mystic, Connecticut, licensed in Connecticut (3158) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Linda W Suriyakham Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Linda Suriyakham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mystic, CT 06355
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Suriyakham's NPI number?
The NPI number for Linda Suriyakham is 1720354491. It was assigned to this individual provider in the NPPES registry on March 28, 2012.
Where is Linda Suriyakham located?
Linda Suriyakham practices at 14 Masons Island Rd Unit 4, Mystic, CT 06355. The listed phone number is (860) 245-9222.
What is Linda Suriyakham's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Linda Suriyakham enrolled in Medicare?
Yes. Linda Suriyakham is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Linda Suriyakham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Linda Suriyakham reassigns Medicare benefits to Stonington Psychology LLC (Mystic, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Linda Suriyakham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Linda Suriyakham was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Linda W Suriyakham, PH.D. · NPI 1720354491
Clinical provider in Mystic, Connecticut. Individual provider, active in the CMS NPPES registry since March 28, 2012.
## Identity
- **NPI:** 1720354491 (Entity type: Individual)
- **Enumerated:** March 28, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3158 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14 MASONS ISLAND RD UNIT 4, Mystic, CT 06355-2958
- **Phone:** (860) 245-9222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Stonington Psychology LLC (NPI 1659627453, Mystic, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720354491) · Data from the CMS NPPES public registry.