Linda D. Theis, L.L. P
NPI 1124447859ActiveIndividual· Psychologist, Clinical· Fife Lake, MI
Psychologist, Clinical (L.L. P) with Old Town Psychological Services, practicing in Fife Lake, Michigan. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1124447859 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.L. P |
| Sole proprietor | Yes |
| NPI issued | Apr 9, 2014 |
| Last updated in NPPES | Apr 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301015848 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Old Town Psychological ServicesTraverse City, MI · 8 clinicians