Individual provider Active NPI

Christine Samuelsen, PSY.D.

  • Clinical Psychologist
  • Camp Hill, PA
National Provider Identifier
1508247933
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016938 Issued in PA
Practice address
2331 Market St FL 3
Camp Hill, PA 17011-4607
Phone
(717) 409-5414
Fax
(717) 275-0262
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 PS016938 PA Primary

Addresses

Primary practice location

2331 Market St FL 3
Camp Hill, PA 17011-4607

Mailing address

2331 Market St FL 3
Camp Hill, PA 17011-4607
Phone (717) 409-5414

Other identifiers 1

IdentifierTypeStateIssuer
1030708610001MedicaidPA

Other names 1

  • Christine Brickman Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1508247933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MARKET ST FL 3",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114607",
            "telephone_number": "717-409-5414",
            "fax_number": "717-275-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MARKET ST FL 3",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114607",
            "telephone_number": "717-409-5414",
            "fax_number": "717-275-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSEN",
        "first_name": "CHRISTINE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030708610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BRICKMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.