Active NPI
Clint Robert Christie, M.A.
- Marriage & Family Therapist
- Laguna Beach, CA
National Provider Identifier
1699330027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 102855
- Practice address
- 333 3Rd St Ste 6
Laguna Beach, CA 92651-2376 - Phone
- (949) 244-9488
- NPI assigned
- May 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102855 | CA | Primary |
Addresses
Primary practice location
333 3Rd St Ste 6
Laguna Beach, CA 92651-2376
Mailing address
333 3Rd St Ste 6
Laguna Beach, CA 92651-2376
Phone (949) 244-9488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1699330027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 3RD ST STE 6",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512376",
"telephone_number": "949-244-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 3RD ST STE 6",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512376",
"telephone_number": "949-244-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "CLINT",
"middle_name": "ROBERT",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.