Active NPI
Christie Lyn Schrank-Krupa, MS, BCBA, LBA
- School Psychologist
- Medford, NY
National Provider Identifier
1487794699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 491 Daryl Dr
Medford, NY 11763-1226 - Phone
- (631) 220-2512
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | Primary | |
| Behavior Analyst | 103K00000X | 000378 | NY |
Addresses
Primary practice location
491 Daryl Dr
Medford, NY 11763-1226
Mailing address
491 Daryl Dr
Medford, NY 11763-1226
Phone (631) 220-2512
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000378 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1487794699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 DARYL DR",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117631226",
"telephone_number": "631-220-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 DARYL DR",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117631226",
"telephone_number": "631-220-2512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRANK-KRUPA",
"first_name": "CHRISTIE",
"middle_name": "LYN",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.