Chriss N. Allen, PH.D.
Individual provider Active NPI Clinical Psychologist · Oceanside, CA
NPI 1710100490 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1710100490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY 11664 (CA)
- Practice address
- 2125 S El Camino Real
Suite 206
Oceanside, CA 92054-6260 - Phone
- (760) 598-4528
- Fax
- (619) 298-7267
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2125 S El Camino Real
Suite 206
Oceanside, CA 92054-6260
Phone (760) 598-4528
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050110001083 | CA | Practitioner - Clinical Psychologist | 3274581822 | Practice locations: Oceanside, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 11664 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John B. Mansdorfer, PH.D. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 11664 | CA | Yes |
Addresses
Primary practice location
2125 S El Camino Real
Suite 206
Oceanside, CA 92054-6260
Mailing address
2125 S El Camino Real
Suite 206
Oceanside, CA 92054-6260
Phone (760) 598-4528
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY116640 | Medicaid | CA |
Other providers in Oceanside, CA
- Ali Manouchehri DDS Apc
- All About Eyes
- All Concierge Homehealth, Inc
- Alla Patish-Preobrazhenskaya Dental Professional Corporation
- Allison Mackenzie Allen
- Marissa Ann Allen
- Matthew Gene Allen
- Paige Allen
- Ria Jane Yoder Allen
- Samantha M Allen
All providers in Oceanside, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.