Active NPI
Hope A. Cristobal, PSY.D.
- Clinical Psychologist
- Tamuning, GU
National Provider Identifier
1386801223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- CP-35
- Practice address
- 472 Chalan San Antonio
Ste 105
Tamuning, GU 96913 - Phone
- (671) 649-2080
- Fax
- (671) 649-2082
- NPI assigned
- May 19, 2008
- Last updated
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Clinical Psychologist | 103TC0700X | CP-35 | GU | Primary |
| Clinical Psychologist | 103TC0700X | PSY22485 | CA |
Addresses
Primary practice location
472 Chalan San Antonio
Ste 105
Tamuning, GU 96913
Mailing address
472 Chalan San Antonio
Ste 105
Tamuning, GU 96913
Phone (671) 649-2080
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22485 | CA | MD | Clinical Psychologist |
| CP-35 | GU | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosemarie B. Camacho Counseling Services, PC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Tamuning, GU
- NPI 1184973539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1386801223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 CHALAN SAN ANTONIO",
"address_2": "STE 105",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-649-2080",
"fax_number": "671-649-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 CHALAN SAN ANTONIO",
"address_2": "STE 105",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-649-2080",
"fax_number": "671-649-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTOBAL",
"first_name": "HOPE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GU",
"license": "CP-35",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.