Individual provider Active NPI

Christina Strakes, PH.D.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1629272844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
O3792 Issued in MD
Practice address
6700 Fordcrest Rd
Baltimore, MD 21237-2109
Phone
(410) 682-3300
Fax
(410) 686-0595
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X O3792 MD Primary

Addresses

Primary practice location

6700 Fordcrest Rd
Baltimore, MD 21237-2109

Mailing address

6700 Fordcrest Rd
Baltimore, MD 21237-2109
Phone (410) 682-3300

Other identifiers 2

IdentifierTypeStateIssuer
761002500MedicaidMD
6107401OtherMDBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131220000114 MD Practitioner - Clinical Psychologist 9830326750 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6700 Fordcrest Rd
Baltimore, MD 21237-2109
Phone (410) 682-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O3792MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629272844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 FORDCREST RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372109",
            "telephone_number": "410-682-3300",
            "fax_number": "410-686-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 FORDCREST RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372109",
            "telephone_number": "410-682-3300",
            "fax_number": "410-686-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAKES",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "O3792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761002500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6107401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.