Active NPI
Cody Christopherson, PH.D.
- Clinical Psychologist
- Ashland, OR
National Provider Identifier
1326454471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2443
- Practice address
- 1250 Siskiyou Blvd
Psychology Department
Ashland, OR 97520-5001 - Phone
- (541) 552-8491
- Fax
- (541) 552-6988
- NPI assigned
- Jul 9, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2443 | OR | |
| Clinical Psychologist | 103TC0700X | 2443 | OR | Primary |
Addresses
Primary practice location
1250 Siskiyou Blvd
Psychology Department
Ashland, OR 97520-5001
Mailing address
1250 Siskiyou Blvd
Psychology Department
Ashland, OR 97520-5001
Phone (541) 552-8491
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2443 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1326454471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SISKIYOU BLVD",
"address_2": "PSYCHOLOGY DEPARTMENT",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975205001",
"telephone_number": "541-552-8491",
"fax_number": "541-552-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SISKIYOU BLVD",
"address_2": "PSYCHOLOGY DEPARTMENT",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975205001",
"telephone_number": "541-552-8491",
"fax_number": "541-552-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHERSON",
"first_name": "CODY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2443",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.