Christine Marie McKillip, M.ED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2730 Shadelands Dr
Walnut Creek, CA 94598-2538

Phone

(925) 787-1150

NPI assigned

Mar 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1386061323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "925-787-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "925-787-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Crow Canyon Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831344",
            "country_code": "US",
            "telephone_number": "510-999-4410",
            "fax_number": "887-565-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982538",
            "country_code": "US",
            "telephone_number": "925-787-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKILLIP",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Steven McIntire-Mann, MS CCC-SLP
• Romi McIntire-Mann, PSY.D.
• Adrienne Michelle McIntyre, RN, MS, CNS
• Stacia McIntyre
• Tess McKenna
• Erin McKnew, PSY.D.
• Dion Robert McLennan
• Thomas McMahan
• Carol Jean McMenamy, LCSW
• Brim Aaron McMillan-Gordon, DPM

• Behavior Analyst in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.