Christine R. Kodman-Jones, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005287L Issued in PA

Practice address

1 Bala Ave Ste 125
Bala Cynwyd, PA 19004-3217

Phone

(610) 667-7137

Fax

(610) 667-7141

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1629284112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA AVE STE 125",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043217",
            "telephone_number": "610-667-7137",
            "fax_number": "610-667-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE STE 125",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043217",
            "telephone_number": "610-667-7137",
            "fax_number": "610-667-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODMAN-JONES",
        "first_name": "CHRISTINE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS0005287L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS0005287L",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS0005287L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005287L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darin Kleinsmith, PA-C
• Daryl Klopp, D.M.D.
• Richard Philip Kluft, M.D.
• Jerome Francis Knast, PH.D.
• Helene M. Koch, D.O.
• John P Kohler, MD
• Amanda M Kopetsky
• Wilhelmina Cornelia Korevaar, MD
• Jordan Kowet
• Michael Paul Kowitt, PHD

• Clinical Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.