Individual provider Active NPI

Christina Mark, PHD, LP

  • Psychologist
  • Omaha, NE
National Provider Identifier
1538726310
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1066 Issued in NE
Practice address
18021 Oak St Ste B
Omaha, NE 68130-6035
Phone
(402) 986-6250
Fax
(402) 702-1584
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1066 NE Primary

Addresses

Primary practice location

18021 Oak St Ste B
Omaha, NE 68130-6035

Mailing address

18021 Oak St Ste B
Omaha, NE 68130-6035
Phone (402) 986-6250

Other practice location 1

13460 Walsh Dr
Boys Town, NE 68010-7529
Phone (531) 355-3362

Other names 1

  • Christina Monachino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1066NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan's Boys' Home CurrentSince Oct 7, 2021 Accepting new patients
Perspective Behavioral Health Psychologist CurrentSince May 26, 2024 Accepting new patients

Locations

13460 Walsh Dr
Boys Town, NE 68010
Phone (531) 355-3358

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

18021 Oak St
Ste B
Omaha, NE 68130
Phone (402) 986-6250

7205 W Center Rd
Ste 104
Omaha, NE 68124
Phone (402) 392-7684

Organizations & group practices 2

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1538726310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18021 OAK ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306035",
            "telephone_number": "402-986-6250",
            "fax_number": "402-702-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18021 OAK ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306035",
            "telephone_number": "402-986-6250",
            "fax_number": "402-702-1584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13460 Walsh Dr",
            "address_purpose": "LOCATION",
            "city": "Boys Town",
            "state": "NE",
            "postal_code": "680107529",
            "country_code": "US",
            "telephone_number": "531-355-3362",
            "fax_number": "531-355-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARK",
        "first_name": "CHRISTINA",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "1066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MONACHINO",
            "credential": "PHD, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.