Individual provider Active NPI

Christie Phillips Enzinna, M.A., BCBA

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1346577137
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
9940 W Sam Houston Pkwy S
Suite 320
Houston, TX 77099-5305
Phone
(713) 364-4654
Fax
(469) 575-3002
NPI assigned
Nov 16, 2009
Last updated
May 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

9940 W Sam Houston Pkwy S
Suite 320
Houston, TX 77099-5305

Mailing address

3620 N. Josey Lane
Suite 210
Carrollton, TX 75007-3159
Phone (713) 364-4654

Other names 1

  • Ms. Christie Lynn Phillips Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1346577137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N. JOSEY LANE",
            "address_2": "SUITE 210",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073159",
            "telephone_number": "713-364-4654",
            "fax_number": "469-575-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770995305",
            "telephone_number": "713-364-4654",
            "fax_number": "469-575-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZINNA",
        "first_name": "CHRISTIE",
        "middle_name": "PHILLIPS",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "PHILLIPS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.