Individual provider Active NPI

Caroline Cross Chinlund, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1518088988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010400 Issued in NY
Practice address
445 W 19TH St
PH-D
New York, NY 10011-3844
Phone
(212) 627-8747
NPI assigned
Apr 3, 2007
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 010400 NY Primary

Addresses

Primary practice location

445 W 19TH St
PH-D
New York, NY 10011-3844

Mailing address

445 W 19TH St
PH-D
New York, NY 10011-3844
Phone (212) 627-8747

Other identifiers 3

IdentifierTypeStateIssuer
145336OtherNYVALUE OPTIONS ID NUMBER
6801243OtherNYGHI INS. CO PROVIDER NUMB
010400OtherNYPSYCHOLOGY LICENSE #

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518088988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W 19TH ST",
            "address_2": "PH-D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113844",
            "telephone_number": "212-627-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W 19TH ST",
            "address_2": "PH-D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113844",
            "telephone_number": "212-627-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINLUND",
        "first_name": "CAROLINE",
        "middle_name": "CROSS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID NUMBER",
            "identifier": "145336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI INS. CO PROVIDER NUMB",
            "identifier": "6801243",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE #",
            "identifier": "010400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.