Active NPI
Norman Henrik Christiansen, ED.D.
- Psychologist
- Easthampton, MA
National Provider Identifier
1154474047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5078
- Practice address
- 175 Main St
Easthampton, MA 01027-2022 - Phone
- (413) 527-8308
- Fax
- (413) 585-0280
- NPI assigned
- Jan 22, 2007
- 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 | 5078 | MA | Primary |
Addresses
Primary practice location
175 Main St
Easthampton, MA 01027-2022
Mailing address
175 Main St
Easthampton, MA 01027-2022
Phone (413) 527-8308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380322 | Other | MA | MAGELLAN HEALTH CARE |
| WO4822 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5078 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154474047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MAIN ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010272022",
"telephone_number": "413-527-8308",
"fax_number": "413-585-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MAIN ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010272022",
"telephone_number": "413-527-8308",
"fax_number": "413-585-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "NORMAN",
"middle_name": "HENRIK",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "5078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH CARE",
"identifier": "380322",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WO4822",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easthampton, MA
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.