Individual provider Active NPI

Christine A. Doerr, APRN-BC

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Englewood, NJ
National Provider Identifier
1710119383
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
26NJ00218700 Issued in NJ
Practice address
163 Engle St
Suite 202
Englewood, NJ 07631-2535
Phone
(201) 280-8734
Fax
(201) 266-6200
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 26NJ00218700 NJ Primary

Addresses

Primary practice location

163 Engle St
Suite 202
Englewood, NJ 07631-2535

Mailing address

163 Engle St
Suite 202
Englewood, NJ 07631-2535
Phone (201) 280-8734

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
26NJ00218700NJMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1710119383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST",
            "address_2": "SUITE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312535",
            "telephone_number": "201-280-8734",
            "fax_number": "201-266-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST",
            "address_2": "SUITE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312535",
            "telephone_number": "201-280-8734",
            "fax_number": "201-266-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NJ00218700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.