Individual provider Active NPI

Christina L Volstad, PSYD

  • Clinical Psychologist
  • Edinboro, PA
National Provider Identifier
1730921149
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34070 Issued in CA
Practice address
7052 Route 6N
Edinboro, PA 16412-9610
Phone
(814) 734-3975
Fax
(814) 734-1265
NPI assigned
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS020152P PA
Clinical Psychologist 103TC0700X PSY34070 CA Primary

Addresses

Primary practice location

7052 Route 6N
Edinboro, PA 16412-9610

Mailing address

7052 Route 6N
Edinboro, PA 16412-9610
Phone (814) 734-3975

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY34070CAMDClinical Psychologist
PS020152PPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edinboro Counseling and Psychological Services CurrentSince Jun 9, 2024 Accepting new patients
Edinboro Counseling and Psychological Services CurrentSince Jun 9, 2024 Accepting new patients

Locations

7052 Route 6N
Edinboro, PA 16412
Phone (814) 734-3975

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1730921149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 ROUTE 6N",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164129610",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7052 ROUTE 6N",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164129610",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLSTAD",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020152P",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.