Christopher Jan Mundale, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 16147 Issued in CA

Practice address

10 Corporate Park
Suite 215
Irvine, CA 92606-5140

Phone

(949) 398-7900

Fax

(949) 398-7901

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly Tonelli Psychologist a Professional Corporation

  • Psychologist
  • Irvine, CA
  • NPI 1730481789
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1013927748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORPORATE PARK",
            "address_2": "SUITE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065140",
            "telephone_number": "949-398-7900",
            "fax_number": "949-398-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORPORATE PARK",
            "address_2": "SUITE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065140",
            "telephone_number": "949-398-7900",
            "fax_number": "949-398-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDALE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 16147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Mueller, PTA
• Claire Amelia Muldoon
• Sydney Lauren Muller
• Laura Mullikin, LMT
• Christine Lynn Mumea
• Shaheen Natasha Muneshwar
• Gabriela Muniz Gomez,
• Bianca Muniz
• Jessica Munoz
• Jesus Munoz

• Clinical Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.