Individual provider Active NPI

Christy S Tinch, PSY.D.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1508018300
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5630 Issued in OH
Practice address
1155 W 3Rd Ave
Columbus, OH 43212-3043
Phone
(614) 616-0037
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5630 OH Primary

Addresses

Primary practice location

1155 W 3Rd Ave
Columbus, OH 43212-3043

Mailing address

1155 W 3Rd Ave
Columbus, OH 43212-3043
Phone (614) 616-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230710003752 OH Practitioner - Clinical Psychologist 0749649614 Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Wright State University Boonshoft School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1155 W 3Rd Ave
Columbus, OH 43212-3043
Phone (614) 327-8788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5630OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon and Associates 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1508018300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123043",
            "telephone_number": "614-616-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123043",
            "telephone_number": "614-616-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINCH",
        "first_name": "CHRISTY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.