Christine Marie Chanteloup, M.F.T. INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF77046 Issued in CA

Practice address

450 Stanyan St
McAuley Adolescent Day Treatment Program
San Francisco, CA 94117-1019

Phone

(415) 750-5580

NPI assigned

Mar 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1649695305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ROSEMONT AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413589",
            "telephone_number": "415-860-0849",
            "fax_number": "415-381-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "address_2": "MCAULEY ADOLESCENT DAY TREATMENT PROGRAM",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "415-750-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTELOUP",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.F.T. INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF77046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT INTERN",
            "identifier": "IMF77046",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wileen Chang, AU.D
• Yun Cheong Chang, MD
• Pawan Chansaenroj, M.D.
• Peter Chansky, MD
• William V Chantaduly, O.D.
• Sara Chantit
• Chantra Chao, R.N., N.P., A.C.N.P.
• Cyrus Cyrus Chao
• Dyann M Chao, M.D.
• Helen Chao, LCSW

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.