Individual provider Active NPI

Christy Lee Girard, PSYD

  • Clinical Psychologist
  • Hancock, MI
National Provider Identifier
1669772364
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007957 Issued in IL
Practice address
787 Market St Ste 9
Hancock, MI 49930
Phone
(906) 482-7762
NPI assigned
Oct 27, 2010
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2467MedicaidIL

Other names 1

  • Dr. Christy Lee Schriver Former name

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

LicenseStateTypeSpecialty
071.007957ILMDClinical 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.

Verify at the official NPI Registry.