Individual provider Active NPI

Ciara Christensen, PHD

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1730431289
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3622-57 Issued in WI
Practice address
2266 N Prospect Ave Ste 430
Milwaukee, WI 53202-6333
Phone
(509) 432-1142
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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 3622-57 WI Primary

Addresses

Primary practice location

2266 N Prospect Ave Ste 430
Milwaukee, WI 53202-6333

Mailing address

2266 N Prospect Ave Ste 430
Milwaukee, WI 53202-6333
Phone (509) 432-1142

Other practice location 1

777 Hospital Way # G11
Pocatello, ID 83201-5175
Phone (208) 239-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA, WI, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150204001763 ID Practitioner - Clinical Psychologist 1658501093 Reassigns benefits to 1 organization
I20250801002570 WA Practitioner - Clinical Psychologist 1658501093 Reassigns benefits to 2 organizations
I20251030000240 WI Practitioner - Clinical Psychologist 1658501093 Reassigns benefits to 1 organization
I20251215001868 CO Practitioner - Clinical Psychologist 1658501093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Balanced Family Chiropractic, LLC Psychologist CurrentSince May 8, 2025 Accepting new patients
Sondermind, P.a. Psychologist CurrentSince Sep 15, 2025 Accepting new patients
Transcendence Therapy Group LLC Clinical Past Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

16201 25th Ave W
Lynnwood, WA 98087
Phone (425) 712-9277

1433 N Water St
Ste 400
Milwaukee, WI 53202
Phone (414) 289-7154

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1730431289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE STE 430",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026333",
            "telephone_number": "509-432-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE STE 430",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026333",
            "telephone_number": "509-432-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hospital Way # G11",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832015175",
            "country_code": "US",
            "telephone_number": "208-239-1710",
            "fax_number": "208-239-1713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CIARA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3622-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.