Christine Guevara, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001144 Issued in IA

Practice address

802 Rainbow Dr Ste 1
Waterloo, IA 50701-1133

Phone

(319) 883-9811

Fax

(319) 883-9811

NPI assigned

Sep 5, 2007

Last updated

Dec 21, 2017By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Noble Cedar Psychological Institute

  • Clinical Psychologist
  • Waterloo, IA
  • NPI 1972859288
  NPD (past) Authorized official

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1629262316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 RAINBOW DR STE 1",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507011133",
            "telephone_number": "319-883-9811",
            "fax_number": "319-883-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 RAINBOW DR STE 1",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507011133",
            "telephone_number": "319-883-9811",
            "fax_number": "319-883-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 W. 5th Street",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50702",
            "country_code": "US",
            "telephone_number": "319-883-9811",
            "fax_number": "319-883-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001144",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growth & Grace Counseling and Consulting LLC
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• GRX Holdings LLC
• Alyssa Grycko, PHARMD
• Stephanie A Grzybek, L.I.S.W
• Guiding Star Cedar Valley
• Lauren Kelly Gulan
• Jeffrey Guse
• Joanna Gustas, PHARMD
• Tracey Lynn Guthrie, CD(DONA)

• Psychologist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.