Christy Elder, SSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2049118 Issued in IL

Practice address

2806 E 600 North Rd
Strasburg, IL 62465-4102

Phone

(217) 821-9595

NPI assigned

Jun 2, 2021

Last updated

Jun 2, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1043886849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17363 N DEER CREEK DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624015366",
            "telephone_number": "217-821-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 E 600 NORTH RD",
            "city": "STRASBURG",
            "state": "IL",
            "postal_code": "624654102",
            "telephone_number": "217-821-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "E. 7th St.",
            "address_purpose": "LOCATION",
            "city": "Neoga",
            "state": "IL",
            "postal_code": "624476244",
            "country_code": "US",
            "telephone_number": "217-821-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDER",
        "first_name": "CHRISTY",
        "name_prefix": "Mrs.",
        "credential": "SSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2049118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Boyer
• Delreen E. Schmidt-Lenz
• Stewardson-Strasburg Community Unit School District #5a

• School Psychologist in Strasburg, IL
• Providers in Strasburg, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.