Active NPI
Christopher Martin Love, PSY.D.
- Clinical Psychologist
- Crestline, CA
National Provider Identifier
1477879872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 23377
- Practice address
- 23739 Lake Drive
Suite 207
Crestline, CA 92325 - Phone
- (909) 810-6426
- Fax
- (909) 658-6141
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 23377 | CA | Primary |
Addresses
Primary practice location
23739 Lake Drive
Suite 207
Crestline, CA 92325
Mailing address
PO Box 1572
Crestline, CA 92325-1572
Phone (909) 810-6426
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 23377 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1477879872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1572",
"city": "CRESTLINE",
"state": "CA",
"postal_code": "923251572",
"telephone_number": "909-810-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23739 LAKE DRIVE",
"address_2": "SUITE 207",
"city": "CRESTLINE",
"state": "CA",
"postal_code": "92325",
"telephone_number": "909-810-6426",
"fax_number": "909-658-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "CHRISTOPHER",
"middle_name": "MARTIN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 23377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestline, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.