Active NPI
Christi Washington Cabrera, PH.D., ABPP
- Clinical Psychologist
- Tallahassee, FL
National Provider Identifier
1194023622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9460
- Practice address
- 267 John Knox Rd
Suite 104
Tallahassee, FL 32303-6611 - Phone
- (850) 443-7948
- NPI assigned
- Mar 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY9460 | FL | Primary |
| Clinical Psychologist | 103TC0700X | PSY003430 | GA |
Addresses
Primary practice location
267 John Knox Rd
Suite 104
Tallahassee, FL 32303-6611
Mailing address
267 John Knox Rd
Suite 104
Tallahassee, FL 32303-6611
Phone (850) 443-7948
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003430 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewing Spirit: an Anxiety & Wellness Practice, LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Tallahassee, FL
- NPI 1871038935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1194023622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 JOHN KNOX RD",
"address_2": "SUITE 104",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036611",
"telephone_number": "850-443-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 JOHN KNOX RD",
"address_2": "SUITE 104",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036611",
"telephone_number": "850-443-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "CHRISTI",
"middle_name": "WASHINGTON",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9460",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.