Christine E Minchak

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000782 Issued in NY

Practice address

20 Cedar St
New Rochelle, NY 10801-5247

Phone

(914) 576-5292

NPI assigned

Jun 9, 2012

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1588926273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HUNT AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651841",
            "telephone_number": "845-461-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015247",
            "telephone_number": "914-576-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCHAK",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1172777",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Helene Miller, MPS
• Marian P Miller, MD
• Tykia Shanelle Miller
• Stephanie Alyssa Millman, M.S. CF-SLP
• Eugenio Minaya
• Lawrence Minowitz, M.D.
• Shujaat Abbas Mir, BPHARM
• Shahrzad Mirafzali, D.D.S.
• Suzanne Mirando, LPN
• Hilton Mirels, MD, FCS

• Behavior Analyst in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.