Marilyn Joy Christensen, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301007947 Issued in MI

Practice address

215 N Kalamazoo Ave
Suite C
Paw Paw, MI 49079-1321

Phone

(269) 655-6740

Fax

(269) 655-2950

NPI assigned

Sep 29, 2006

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 identifiers 1

Other names 1

• Ms. Marilyn Reed Christensen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Center for Change & Growth PLC

  • Adult Mental Health Clinic/Center
  • Paw Paw, MI
  • NPI 1649459132
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467544197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N KALAMAZOO AVE",
            "address_2": "SUITE C",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791321",
            "telephone_number": "269-655-6740",
            "fax_number": "269-655-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N KALAMAZOO AVE",
            "address_2": "SUITE C",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791321",
            "telephone_number": "269-655-6740",
            "fax_number": "269-655-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MARILYN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "098509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "CHRISTENSEN",
            "middle_name": "REED",
            "prefix": "MS.",
            "credential": "LLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William C Cartmill, MD
• Maureen Alice Castagnasso, LPN
• Lauren Cavalli, M.A., BCBA
• Center for Change & Growth PLC
• Jamie Lynn Chiles, ANP
• Kaela M Church
• Samantha Clark
• David A Cleary, OD
• Christina Marie Clements, M. ED, BCBA, LBA
• Rachel Click, PA-C

• Psychologist in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.