Individual provider Active NPI

Christine E Mosier, PH.D.

  • Clinical Psychologist
  • Redding, CA
National Provider Identifier
1215950902
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17757 Issued in CA
Practice address
1650 Oregon St Ste 109
Redding, CA 96001-1754
Phone
(530) 242-6079
Fax
(530) 242-6079
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY17757 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY17757 CA
Clinical Psychologist 103TC0700X PSY17757 CA Primary

Addresses

Primary practice location

1650 Oregon St Ste 109
Redding, CA 96001-1754

Mailing address

1650 Oregon Street
Suite 109
Redding, CA 96001
Phone (530) 242-6079

Other practice location 1

1350 Placer St
Redding, CA 96001-1013
Phone (530) 242-6079

Other identifiers 2

IdentifierTypeStateIssuer
0PL177570OtherCABLUE SHIELD OF CALIFORNIA
0PL177570OtherCAANTHEM BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060822000597 CA Practitioner - Clinical Psychologist 7012910540 Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1650 Oregon St
Suite 109
Redding, CA 96001-1754
Phone (530) 242-6079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY17757CAMDClinical Child & Adolescent Psychologist
17757CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Prosthetics & Orthotics of Redding Inc Past Accepting new patients
Center for Neuropsychology, a Psychological Corporation PastSince Mar 9, 2017 Accepting new patients
Spectrum Prosthetics & Orthotics of Redding, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215950902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OREGON STREET",
            "address_2": "SUITE 109",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-242-6079",
            "fax_number": "530-242-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OREGON ST STE 109",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011754",
            "telephone_number": "530-242-6079",
            "fax_number": "530-242-6079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Placer St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011013",
            "country_code": "US",
            "telephone_number": "530-242-6079",
            "fax_number": "530-242-6079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSIER",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17757",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY17757",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "0PL177570",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "0PL177570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.