Active NPI
Christina Chatlos, PSY.D.
- Behavior Analyst
- Glen Rock, NJ
National Provider Identifier
1396283784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13095
- Practice address
- 40 Ridge Rd
Glen Rock, NJ 07452-2322 - Phone
- (917) 545-4888
- NPI assigned
- Feb 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00629200 | NJ | |
| Behavior Analyst | 103K00000X | 1-13-13095 | NY | Primary |
Addresses
Primary practice location
40 Ridge Rd
Glen Rock, NJ 07452-2322
Mailing address
40 Ridge Rd
Glen Rock, NJ 07452-2322
Phone (917) 545-4888
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 |
|---|---|---|---|
| 35SI00629200 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1396283784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 RIDGE RD",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074522322",
"telephone_number": "917-545-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 RIDGE RD",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074522322",
"telephone_number": "917-545-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATLOS",
"first_name": "CHRISTINA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-06",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00629200",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1-13-13095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Rock, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.