Individual provider Active NPI

Christina Louise Mayo, PHD,LLP

  • Clinical Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1376564500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301011657 Issued in MI
Practice address
43996 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5028
Phone
(248) 338-2988
Fax
(248) 338-1322
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301011657 MI Primary

Addresses

Primary practice location

43996 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5028

Mailing address

43996 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5028
Phone (248) 338-2988

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
6301011657MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina M Kaplan, PLLC Current Accepting new patients

Organizations & group practices 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376564500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025028",
            "telephone_number": "248-338-2988",
            "fax_number": "248-338-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025028",
            "telephone_number": "248-338-2988",
            "fax_number": "248-338-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "CHRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PHD,LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.