Kristina Nicole Schrag, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

382 Thayer St
Providence, RI 02906-1558

Phone

(401) 330-5882

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kristina Black Emberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Center for Dynamic and Behavioral Therapy LLC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1790207876
  NPD
• The Providence Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Providence, RI
  • NPI 1104847946
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1336472471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 5TH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062813",
            "telephone_number": "401-632-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061558",
            "telephone_number": "401-330-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAG",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "EMBERG",
            "middle_name": "BLACK",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay W Schnetzer, PH.D.
• Jason Schnetzler, M.D.
• Valerie Noelle Schomburg
• Allison Schonfeld, LICSW
• School One
• David Schreiber, M.D.
• Lilian Dr Schreiner
• Sean Alan Schroeder, MD
• Victoria Schuermann
• Deborah Schuessler, PH.D.

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.