Individual provider Active NPI

Ray W. Christner, PSY.D.

  • Psychologist
  • Hanover, PA
National Provider Identifier
1083658512
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016004 Issued in PA
Practice address
100 W Eisenhower Dr
Suite a
Hanover, PA 17331-1142
Phone
(717) 632-8400
Fax
(717) 632-9300
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016004 PA Primary

Addresses

Primary practice location

100 W Eisenhower Dr
Suite a
Hanover, PA 17331-1142

Mailing address

100 W Eisenhower Dr
Suite a
Hanover, PA 17331-1142
Phone (717) 632-8400

Other identifiers 1

IdentifierTypeStateIssuer
PS016004OtherPAPSYCHOLOGY LICENSE

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, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevatemind, LLC Psychologist CurrentSince May 7, 2024 Accepting new patients

Locations

100 W Eisenhower Dr
Ste A
Hanover, PA 17331
Phone (717) 632-8400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1083658512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W EISENHOWER DR",
            "address_2": "SUITE A",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311142",
            "telephone_number": "717-632-8400",
            "fax_number": "717-632-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W EISENHOWER DR",
            "address_2": "SUITE A",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311142",
            "telephone_number": "717-632-8400",
            "fax_number": "717-632-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTNER",
        "first_name": "RAY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PS016004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.