Individual provider Active NPI

Christianne Hopwood, PSY.D.

  • Psychologist
  • Bala Cynwyd, PA
National Provider Identifier
1659553592
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS009017L Issued in PA
Practice address
111 N Presidential Blvd Ste 237
Bala Cynwyd, PA 19004-1012
Phone
(610) 506-2978
Fax
(267) 775-5096
NPI assigned
Dec 3, 2007
Last updated
Mar 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS009017L PA Primary

Addresses

Primary practice location

111 N Presidential Blvd Ste 237
Bala Cynwyd, PA 19004-1012

Mailing address

111 N Presidential Blvd Ste 237
Bala Cynwyd, PA 19004-1012
Phone (610) 506-2978

Other names 1

  • Christianne Stern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • 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
I20181219001266 KY Practitioner - Clinical Psychologist 3476530783 Practice locations: Crestview Hills, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCB Behavioral Health, P.L.L.C. Past Accepting new patients
Neuroscience and Behavioral Health Associates PastSince May 10, 2001 Accepting new patients
David a Thomas, LTD Psychologist Past Accepting new patients
Regional Medical Specialty Associates Psychologist PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1659553592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N PRESIDENTIAL BLVD STE 237",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041012",
            "telephone_number": "610-506-2978",
            "fax_number": "267-775-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N PRESIDENTIAL BLVD STE 237",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041012",
            "telephone_number": "610-506-2978",
            "fax_number": "267-775-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPWOOD",
        "first_name": "CHRISTIANNE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009017L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIANNE",
            "last_name": "STERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.