Active NPI
Christina Whalen, PHD, BCBA-D
- Clinical Child & Adolescent Psychologist
- Phoenix, AZ
National Provider Identifier
1053692046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY19282
- Practice address
- 300 N 18TH St
Phoenix, AZ 85006-4103 - Phone
- (602) 218-8223
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-03-1463 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY19282 | CA | Primary |
Addresses
Primary practice location
300 N 18TH St
Phoenix, AZ 85006-4103
Mailing address
300 N 18TH St
Phoenix, AZ 85006-4103
Phone (602) 218-8223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19282 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1053692046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N 18TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064103",
"telephone_number": "602-218-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 18TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064103",
"telephone_number": "602-218-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "PHD, BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-03-1463",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY19282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.