Individual provider Active NPI

Christina MH Engn, PH.D.

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1366788994
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2985-57 Issued in WI
Practice address
740 N Plankinton Ave Ste 334
Milwaukee, WI 53203-2403
Phone
(141) 278-4690
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2985-57 WI Primary

Addresses

Primary practice location

740 N Plankinton Ave Ste 334
Milwaukee, WI 53203-2403

Mailing address

740 N Plankinton Ave Ste 334
Milwaukee, WI 53203-2403

Other identifiers 1

IdentifierTypeStateIssuer
2985-57OtherWILICENSE

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2985-57WIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1366788994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N PLANKINTON AVE STE 334",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N PLANKINTON AVE STE 334",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032403",
            "telephone_number": "141-278-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGN",
        "first_name": "CHRISTINA",
        "middle_name": "MH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2985-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2985-57",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.