Active NPI
Christine Ann Fadil, PSY.D., LMHC
- Mental Health Counselor
- Miami Springs, FL
National Provider Identifier
1336364280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4708
- Practice address
- 700 S Royal Poinciana Blvd
Suite 300
Miami Springs, FL 33166-6600 - Phone
- (305) 371-8300
- Fax
- (305) 371-1376
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4708 | FL | Primary |
Addresses
Primary practice location
700 S Royal Poinciana Blvd
Suite 300
Miami Springs, FL 33166-6600
Mailing address
600 NW 108TH Ter
Pembroke Pines, FL 33026-4021
Phone (305) 905-2265
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 |
|---|---|---|---|
| MH4708 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1336364280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NW 108TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264021",
"telephone_number": "305-905-2265",
"fax_number": "954-432-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S ROYAL POINCIANA BLVD",
"address_2": "SUITE 300",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331666600",
"telephone_number": "305-371-8300",
"fax_number": "305-371-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADIL",
"first_name": "CHRISTINE",
"middle_name": "ANN",
"credential": "PSY.D., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH4708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.