Colin Herbert Christensen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5959 Issued in OH

Practice address

3722 Whipple Ave NW
Barbara L Fordyce & Assoc
Canton, OH 44718-2934

Phone

(330) 492-2006

Fax

(330) 492-2161

NPI assigned

May 4, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child and Adolescent Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Canton, OH
  • NPI 1821577131
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1568674158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 S BILLINGSGATE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081088",
            "telephone_number": "330-834-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 WHIPPLE AVE NW",
            "address_2": "BARBARA L FORDYCE & ASSOC",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182934",
            "telephone_number": "330-492-2006",
            "fax_number": "330-492-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "COLIN",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnie Chong
• Byeongyeon Choo, M.D.
• Iqbal A Choudhry, MD
• Nidal Choujaa, DO
• Vickey Chrisman, APRN
• Cory Christensen, PTA
• Abigail Christiansen
• Sarah Sahana Christopher Karunakaran, CT BA
• Lori M Christopher, C.N.P.
• Thomas Michael Chronister, LPCC-S

• Psychologist in Canton, OH
• Providers in Canton, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.