Kristin Sanford Rajca, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041064A Issued in IN

Practice address

1327 S 18TH Street
New Castle, IN 47362

Phone

(765) 593-0003

Fax

(765) 593-0032

NPI assigned

Aug 17, 2006

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Kristin Sanford Gillon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Amh, Inc

  dba Associates in Mental Health

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1215940374

  Clinical

  NPD (past)
• Castle Counseling Center, LLC

  • Counselor
  • New Castle, IN
  • NPI 1336477637
  NPD (past)
• Central Indiana OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Muncie, IN
  • NPI 1265524383
  NPD (past)
• Professional Alliance of Counselors and Therapists, Inc.

  dba PACT, Inc.

  • Clinical Social Worker
  • New Castle, IN
  • NPI 1942429758
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1407960719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 S 18TH STREET",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "47362",
            "telephone_number": "765-593-0003",
            "fax_number": "765-593-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 S 18TH STREET",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "47362",
            "telephone_number": "765-593-0003",
            "fax_number": "765-593-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJCA",
        "first_name": "KRISTIN",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041064A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200545040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "GILLON",
            "middle_name": "SANFORD",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Professional Alliance of Counselors and Therapists, Inc. (PACT, Inc.)
• Jessica Rabiola, LCSW
• Lora L. Rains, M.S., OTR
• Raintree Dental PC
• Raintree Programs, Inc.
• Pamela Ramsey, RN
• Arthur P. Ratcliffe, M.D.
• Michelle Marie Ratliff
• Ashley Nicole Razor, APRN, FNP
• Andrew David Redman

• Clinical Psychologist in New Castle, IN
• Providers in New Castle, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.