Individual provider Active NPI

Christina Nicole Radmer, PSYD, LP

  • Psychologist
  • Harker Heights, TX
National Provider Identifier
1700160520
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35203 Issued in TX
Practice address
880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700
Phone
(254) 690-1512
NPI assigned
Sep 29, 2011
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35203 TX Primary
Psychologist 103T00000X 5291 MN

Addresses

Primary practice location

880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700

Mailing address

880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700
Phone (254) 690-1512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20211005002438 GA Practitioner - Clinical Psychologist 0143487413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbus Psychological Associates, LLPGroup PAC ID 8527054162, 12 clinicians

Practice addresses (Care Compare)

2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500
Phone (706) 653-6841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5291MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Psychological Associates, LLP Psychologist CurrentSince Sep 29, 2021 Accepting new patients
Columbus Psychological Assoc. PastSince Sep 29, 2021 Accepting new patients

Locations

2325 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 653-6841

Organizations & group practices 2

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1700160520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-690-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-690-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADMER",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "35203",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "5291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.