Individual provider Active NPI

Christopher Ratkis, PSYD

  • Psychologist
  • Bethlehem, PA
National Provider Identifier
1174283485
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019494 Issued in PA
Practice address
1 E Broad St Ste 510
Bethlehem, PA 18018-5964
Phone
(610) 865-4300
Fax
(610) 865-4399
NPI assigned
Dec 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019494 PA Primary

Addresses

Primary practice location

1 E Broad St Ste 510
Bethlehem, PA 18018-5964

Mailing address

1 E Broad St Ste 510
Bethlehem, PA 18018-5964
Phone (610) 865-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418002495 PA Practitioner - Clinical Psychologist 2365839503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Integrated Behavioral Health, LLCGroup PAC ID 4183884521, 10 clinicians

Practice addresses (Care Compare)

1 E Broad St
Suite 510
Bethlehem, PA 18018-5964
Phone (610) 865-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrated Behavioral Health,LLC Psychologist CurrentSince Jan 14, 2022 Accepting new patients

Locations

1 E Broad St
Ste 510
Bethlehem, PA 18018
Phone (610) 865-4300

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1174283485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 510",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185964",
            "telephone_number": "610-865-4300",
            "fax_number": "610-865-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 510",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185964",
            "telephone_number": "610-865-4300",
            "fax_number": "610-865-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATKIS",
        "first_name": "CHRISTOPHER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.