Individual provider Active NPI

Christine Anita Peters, LCSW, BCBA, LBA

  • Social Worker
  • Yonkers, NY
National Provider Identifier
1386893576
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P65842 Issued in NY
Practice address
50 Nepperhan St Apt 1110
Yonkers, NY 10701-3836
Phone
(914) 462-1926
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P65842 NY Primary

Addresses

Primary practice location

50 Nepperhan St Apt 1110
Yonkers, NY 10701-3836

Mailing address

50 Nepperhan St Apt 1110
Yonkers, NY 10701-3836
Phone (914) 462-1926

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Christine.A.Peters@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2023 through Jan 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P65842NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1386893576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEPPERHAN ST APT 1110",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013836",
            "telephone_number": "914-462-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEPPERHAN ST APT 1110",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013836",
            "telephone_number": "914-462-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHRISTINE",
        "middle_name": "ANITA",
        "name_prefix": "Miss",
        "credential": "LCSW, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P65842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Christine.A.Peters@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "914-462-1926",
            "address_1": "50 Nepperhan St Apt 1110",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107013836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.