Active NPI
Christine McDannald, PSYD
- Clinical Psychologist
- Springfield, MA
National Provider Identifier
1639611692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021418
- Practice address
- 25 Bond St
Springfield, MA 01104-3401 - Phone
- (413) 731-6007
- Fax
- (413) 731-6064
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021418 | NY | Primary |
Addresses
Primary practice location
25 Bond St
Springfield, MA 01104-3401
Mailing address
25 Bond St
Springfield, MA 01104-3401
Phone (413) 584-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021418 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021418 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1639611692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BOND ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011043401",
"telephone_number": "413-584-4040",
"fax_number": "413-731-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BOND ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011043401",
"telephone_number": "413-731-6007",
"fax_number": "413-731-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANNALD",
"first_name": "CHRISTINE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "021418",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.