Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Linda D Theis, LLP

Individual provider Clinical Psychologist · NPI 1124447859

Dr. Linda D Theis, LLP is a Clinical Psychologist in Fife Lake, Michigan. Qualified in 2014, 12 years ago. Practices with Old Town Psychological Services, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014

Practice location Address checks out

6035 Gonyer Rd SW
Fife Lake, MI 49633-8214
Phone: (231) 715-9381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301015848 (MI)

Record details

NPI number1124447859
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLP
Sole proprietorYes
NPI enumeratedApril 9, 2014
Last updated in NPPESApril 9, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Old Town Psychological Services — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fife Lake