Christina Bianchi, PPS - SCHOOL PSYCHOL
Individual provider Active NPI School Psychologist · Jackson, CA
NPI 1396239232 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1396239232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 130139238 (CA)
- Practice address
- 217 Rex Ave
Jackson, CA 95642-2020 - Phone
- (209) 257-5330
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130139238 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amador County Office of Education | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 130139238 | CA | Yes |
Addresses
Primary practice location
217 Rex Ave
Jackson, CA 95642-2020
Mailing address
217 Rex Ave
Jackson, CA 95642-2020
Phone (209) 257-5330
Other providers in Jackson, CA
- Hannah E Banicevich
- Dennis Basalo
- Ellen Beegel
- Alan David Belch
- Gladys Bell
- Christine Anne Bitler
- Gerard V. Bland
- Blue Mountain Transit
- April Michelle Boitano
- Dennis Bourkov
All providers in Jackson, CA · School Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.