Active NPI
Christy Lee Girard, PSYD
- Clinical Psychologist
- Hancock, MI
National Provider Identifier
1669772364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007957
- Practice address
- 787 Market St Ste 9
Hancock, MI 49930 - Phone
- (906) 482-7762
- NPI assigned
- Oct 27, 2010
- Last updated
- Dec 6, 2018
- 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 | 071.007957 | IL | Primary |
Addresses
Primary practice location
787 Market St Ste 9
Hancock, MI 49930
Mailing address
325 E H St
Iron Mountain, MI 49801-4760
Other practice location 1
450 W. Grand Ave
Lake Villa, IL 60046
Phone (847) 245-6358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2467 | Medicaid | IL |
Other names 1
- Dr. Christy Lee Schriver
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007957 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1669772364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E H ST",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 MARKET ST STE 9",
"city": "HANCOCK",
"state": "MI",
"postal_code": "49930",
"telephone_number": "906-482-7762"
}
],
"practiceLocations": [
{
"address_1": "450 W. Grand Ave",
"address_purpose": "LOCATION",
"city": "Lake Villa",
"state": "IL",
"postal_code": "60046",
"country_code": "US",
"telephone_number": "847-245-6358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIRARD",
"first_name": "CHRISTY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2467",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "SCHRIVER",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hancock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.