Individual provider Active NPI

Christine Reineke Bachmann, PSY.D.

  • Clinical Psychologist
  • Charleston, SC
National Provider Identifier
1003920208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000581 Issued in SC
Practice address
1 Poston Rd
Suite 145
Charleston, SC 29407-3424
Phone
(843) 556-4157
Fax
(843) 763-8747
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 000581 SC Primary

Addresses

Primary practice location

1 Poston Rd
Suite 145
Charleston, SC 29407-3424

Mailing address

1 Poston Rd
Suite 145
Charleston, SC 29407-3424
Phone (843) 556-4157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000014 SC Practitioner - Clinical Psychologist 8022285295 Practice locations: Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Carriage Lane
Suite 101
Charleston, SC 29407-3465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000581SCMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003920208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POSTON RD",
            "address_2": "SUITE 145",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073424",
            "telephone_number": "843-556-4157",
            "fax_number": "843-763-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POSTON RD",
            "address_2": "SUITE 145",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073424",
            "telephone_number": "843-556-4157",
            "fax_number": "843-763-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMANN",
        "first_name": "CHRISTINE",
        "middle_name": "REINEKE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "000581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.