Active NPI
Darrell Ray Christian, PH.D.
- Psychologist
- Walnut Creek, CA
National Provider Identifier
1023031564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11699
- Practice address
- 2950 Camino Diablo
Suite 120
Walnut Creek, CA 94597-3978 - Phone
- (925) 935-8646
- Fax
- (925) 935-8646
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY11699 | CA | Primary |
Addresses
Primary practice location
2950 Camino Diablo
Suite 120
Walnut Creek, CA 94597-3978
Mailing address
2950 Camino Diablo
Suite 120
Walnut Creek, CA 94597-3978
Phone (925) 935-8646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11699 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1023031564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 CAMINO DIABLO",
"address_2": "SUITE 120",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973978",
"telephone_number": "925-935-8646",
"fax_number": "925-935-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CAMINO DIABLO",
"address_2": "SUITE 120",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973978",
"telephone_number": "925-935-8646",
"fax_number": "925-935-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "DARRELL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.