Individual provider Active NPI

Christina P Appleton, PH.D.

  • Clinical Psychologist
  • Flagstaff, AZ
National Provider Identifier
1487742631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1171 Issued in AZ
Practice address
416 N Kendrick St
Suite 3
Flagstaff, AZ 86001-1598
Phone
(928) 774-7778
Fax
(928) 913-0891
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1171 AZ Primary

Addresses

Primary practice location

416 N Kendrick St
Suite 3
Flagstaff, AZ 86001-1598

Mailing address

416 N Kendrick St
Suite 3
Flagstaff, AZ 86001-1598
Phone (928) 774-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527001220 CA Practitioner - Clinical Psychologist 7315080934 Practice locations: Laguna Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25283 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5509
Phone (949) 315-0090

25411 Cabot Rd
Laguna Hills, CA 92653-5517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1171AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beverlee Gibbs-Cassady Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487742631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N KENDRICK ST",
            "address_2": "SUITE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011598",
            "telephone_number": "928-774-7778",
            "fax_number": "928-913-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N KENDRICK ST",
            "address_2": "SUITE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011598",
            "telephone_number": "928-774-7778",
            "fax_number": "928-913-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLETON",
        "first_name": "CHRISTINA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.