Active NPI
Christina Pansarasa, PH.D.
- Clinical Psychologist
- Mahopac, NY
National Provider Identifier
1144386798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 013034-1
- Practice address
- 880 S Lake Blvd
Mahopac, NY 10541-4771 - Phone
- (914) 962-8772
- Fax
- (914) 243-7916
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 013034-1 | NY | Primary |
Addresses
Primary practice location
880 S Lake Blvd
Mahopac, NY 10541-4771
Mailing address
984 Hanover St
Yorktown Heights, NY 10598-5913
Phone (914) 962-8772
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142239 | Other | NY | VALUEOPTIONS, INC. |
| 6888317002 | Other | NY | GHI |
| 196607 | Other | NY | MHN |
| P2144259 | Other | NY | OXFORD BEHAVIORAL HEALTH |
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 |
|---|---|---|---|
| 013034-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144386798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 HANOVER ST",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105985913",
"telephone_number": "914-962-8772",
"fax_number": "914-243-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S LAKE BLVD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105414771",
"telephone_number": "914-962-8772",
"fax_number": "914-243-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANSARASA",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "013034-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS, INC.",
"identifier": "142239",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6888317002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "196607",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD BEHAVIORAL HEALTH",
"identifier": "P2144259",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.