Individual provider Active NPI

Cynthia Calla Christenson, PSY.D

  • Clinical Psychologist
  • Carlisle, PA
National Provider Identifier
1750428504
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016084 Issued in PA
Practice address
33 State Ave
Carlisle, PA 17013-4432
Phone
(717) 243-6033
Fax
(717) 243-0776
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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 PS016084 PA Primary

Addresses

Primary practice location

33 State Ave
Carlisle, PA 17013-4432

Mailing address

33 State Ave
Carlisle, PA 17013-4432
Phone (717) 243-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111214000867 PA Practitioner - Clinical Psychologist 8527233873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 E Louther St
Carlisle, PA 17013-2657
Phone (717) 640-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016084PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Listening Well Counseling PLLC Clinical CurrentSince Jan 26, 2022 Accepting new patients
Beacon Psychological Services of Pennsylvania LLC Past Accepting new patients

Locations

401 E Louther St
Carlisle, PA 17013
Phone (717) 448-4135

401 E Louther St
Ste 226
Carlisle, PA 17013

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1750428504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134432",
            "telephone_number": "717-243-6033",
            "fax_number": "717-243-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134432",
            "telephone_number": "717-243-6033",
            "fax_number": "717-243-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "CYNTHIA",
        "middle_name": "CALLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.