Active NPI
Christopher William Nahumck, PHD, MSW, MDIV, MA
- Clinical Psychologist
- Sierra Madre, CA
National Provider Identifier
1326489865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29478
- Practice address
- 150 W. Sierra Madre Blvd
Sierra Madre, CA 91024 - Phone
- (626) 219-0166
- NPI assigned
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29478 | CA | Primary |
Addresses
Primary practice location
150 W. Sierra Madre Blvd
Sierra Madre, CA 91024
Mailing address
150 W. Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 219-0166
Other practice location 1
7356 Painter Ave
Whittier, CA 90602-1853
Phone (626) 219-0166
Other practice location 2
1963 N E St
San Bernardino, CA 92405-3919
Phone (909) 881-6146 ext. 224
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
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29478 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1326489865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W. SIERRA MADRE BLVD",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "91024",
"telephone_number": "626-219-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W. SIERRA MADRE BLVD",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "91024",
"telephone_number": "626-219-0166"
}
],
"practiceLocations": [
{
"address_1": "7356 Painter Ave",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906021853",
"country_code": "US",
"telephone_number": "626-219-0166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1963 N E St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924053919",
"country_code": "US",
"telephone_number": "909-881-6146 x224",
"fax_number": "909-881-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAHUMCK",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"credential": "PHD, MSW, MDIV, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.