Individual provider Active NPI

Christopher Geoffrey Craig, PH.D.

  • Psychologist
  • Canoga Park, CA
National Provider Identifier
1568627461
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
17645 Issued in CA
Practice address
7800 Topanga Canyon Blvd
Apt. 318
Canoga Park, CA 91304-5553
Phone
(818) 710-1290
Fax
(818) 710-1290
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 17645 CA Primary

Addresses

Primary practice location

7800 Topanga Canyon Blvd
Apt. 318
Canoga Park, CA 91304-5553

Mailing address

7800 Topanga Canyon Blvd
Apt. 318
Canoga Park, CA 91304-5553
Phone (818) 710-1290

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
17645CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1568627461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 TOPANGA CANYON BLVD",
            "address_2": "APT. 318",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913045553",
            "telephone_number": "818-710-1290",
            "fax_number": "818-710-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 TOPANGA CANYON BLVD",
            "address_2": "APT. 318",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913045553",
            "telephone_number": "818-710-1290",
            "fax_number": "818-710-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "17645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.