DR. LINDA W SURIYAKHAM PH.D.
NPI 1720354491
Psychologist - Clinical in Mystic, CT

Active since March 28, 2012PECOS Enrolled
14 MASONS ISLAND RD UNIT 4, MYSTIC, CT 06355(860) 245-9222 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1720354491
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LINDA W SURIYAKHAMCredential: PH.D.
Location Address14 MASONS ISLAND RD UNIT 4Mystic, CT 06355-2958
Mailing Address102 Flanders RdStonington, CT 06378-2413 · (860) 245-9222
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 28, 2012
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1720354491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CT · 3158
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

14 MASONS ISLAND RD UNIT 4, Mystic, CT 06355

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID7012132749
PECOS Enrollment IDI20140714000126
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.

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
315 services12 patients

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.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
14 MASONS ISLAND RD UNIT 4
MYSTIC, CT 06355

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.

When was this NPI record last updated?

The NPPES record for Linda Suriyakham was last updated on November 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.