Active NPI
Christine Alice Rackley, PSY.D.
- Psychologist
- Masonville, NY
National Provider Identifier
1174695712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 13462-1
- Practice address
- 1018 Shear Rd
Masonville, NY 13804 - Phone
- (607) 467-2027
- NPI assigned
- Nov 15, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 13462-1 | NY | Primary |
Addresses
Primary practice location
1018 Shear Rd
Masonville, NY 13804
Mailing address
1018 Shear Rd
Masonville, NY 13804
Phone (607) 467-2027
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 |
|---|---|---|---|
| 13462-1 | NY | MD | Psychologist |
| 013462 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1174695712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 SHEAR RD",
"city": "MASONVILLE",
"state": "NY",
"postal_code": "13804",
"telephone_number": "607-467-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 SHEAR RD",
"city": "MASONVILLE",
"state": "NY",
"postal_code": "13804",
"telephone_number": "607-467-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKLEY",
"first_name": "CHRISTINE",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "13462-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Masonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.