Christine Emanuel Naydenov, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301019195 Issued in MI

Practice address

5900 N Lotz Rd
Canton, MI 48187-4331

Phone

(734) 394-4500

NPI assigned

Oct 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christine Emanuel Naydenova Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1407571979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N LOTZ RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874331",
            "telephone_number": "734-394-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYDENOV",
        "first_name": "CHRISTINE",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NAYDENOVA",
            "middle_name": "EMANUEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer G Nastelin, MD
• Alidah Nathoo, RPH
• Zeyaad-Ali Nathoo
• National Vision, Inc.
• Erlinda Navarro-Oca, MD
• Nazima Hafeez MD PLLC
• Constantine Nboumen
• Elizabeth Ndisang
• Megan Neary
• Maria L Neino, ABOC

• Clinical Psychologist in Canton, MI
• Providers in Canton, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.