Active NPI
Christina Gulley, SCHOOL PSYCHOLOGIST
- School Psychologist
- Ashtabula, OH
National Provider Identifier
1194122549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 20654683
- Practice address
- 2302 Wade Ave
Ashtabula, OH 44004-9435 - Phone
- (440) 992-1240
- Fax
- (441) 992-1242
- NPI assigned
- Dec 1, 2014
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 20654683 | OH | Primary |
Addresses
Primary practice location
2302 Wade Ave
Ashtabula, OH 44004-9435
Mailing address
2302 Wade Avenue
Ashtabula, OH 44004
Phone (440) 992-1240
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20654683 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1194122549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 WADE AVENUE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "44004",
"telephone_number": "440-992-1240",
"fax_number": "441-992-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 WADE AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440049435",
"telephone_number": "440-992-1240",
"fax_number": "441-992-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEY",
"first_name": "CHRISTINA",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "20654683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.