Individual provider Active NPI

Christina Sanchez Woodson, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1356413231
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022820 Issued in PA
Practice address
1200 Callowhill St
Philadelphia, PA 19123-3658
Phone
(215) 825-8220
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP022820 PA Primary
Social Worker 104100000X 070716 NY
Clinical Social Worker 1041C0700X 72 070716 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11111111 PA

Addresses

Primary practice location

1200 Callowhill St
Philadelphia, PA 19123-3658

Mailing address

528 Delancey St Apt 2
Philadelphia, PA 19106-4167
Phone (203) 415-0350

Other practice location 1

1 Gustave L Levy Place
Box 1268- Mount Sinai Hospital
New York, NY 10029-6574
Phone (212) 987-7184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210129001837 PA Practitioner - Certified Clinical Nurse Specialist (CNS) 6002220217 Reassigns benefits to 2 organizations
I20230403000074 PA Practitioner - Nurse Practitioner 6002220217 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
72 070716NYMDClinical Social Worker
11111111PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation Current Accepting new patients
Public Health Management Corporation CurrentSince Jan 1, 2021 Accepting new patients
Thrive Counseling LLC CurrentSince Nov 22, 2022 Accepting new patients
Public Health Management Corporation CurrentSince Jan 1, 2021 Accepting new patients
Public Health Management Corporation CurrentSince Jan 1, 2021 Accepting new patients

Locations

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1200 Callowhill St
Philadelphia, PA 19123
Phone (215) 825-8220

1015 Chestnut St
Ste 1520
Philadelphia, PA 19107
Phone (215) 601-7379

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Interoperability endpoints

  • Direct secure messaging: cwoodson579480@direct.ochin.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1356413231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 DELANCEY ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064167",
            "telephone_number": "203-415-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-825-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Place",
            "address_2": "Box 1268- Mount Sinai Hospital",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296574",
            "country_code": "US",
            "telephone_number": "212-987-7184",
            "fax_number": "212-426-5107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "CHRISTINA",
        "middle_name": "SANCHEZ",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022820",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070716",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "72 070716",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "11111111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.