Individual provider Active NPI

Christina F. Chick, PHD

  • Clinical Psychologist
  • Los Altos, CA
National Provider Identifier
1497345250
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33812 Issued in CA
Practice address
1000 Fremont Ave Ste 250a
Los Altos, CA 94024-6058
Phone
(650) 603-0392
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY33812 CA
Adult Development & Aging Psychologist 103TA0700X PSY33812 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY33812 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY33812 CA
Clinical Psychologist 103TC0700X PSY33812 CA Primary

Addresses

Primary practice location

1000 Fremont Ave Ste 250a
Los Altos, CA 94024-6058

Mailing address

110 Golden Oak Dr
Portola Valley, CA 94028-7912
Phone (650) 603-0392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2023 through Jan 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY33812CAMDAdult Development & Aging Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chick Psychological Corporation Psychologist CurrentSince Aug 17, 2025 Accepting new patients

Locations

1000 Fremont Ave
Ste 250A
Los Altos, CA 94024
Phone (650) 207-6694

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1497345250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GOLDEN OAK DR",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287912",
            "telephone_number": "650-603-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 250A",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246058",
            "telephone_number": "650-603-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICK",
        "first_name": "CHRISTINA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY33812",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY33812",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY33812",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY33812",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.