Christie Tanner, PSY.D., L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2375-057 Issued in WI

Practice address

4330 Golf Ter
Suite 203
Eau Claire, WI 54701-4683

Phone

(715) 828-1611

Fax

(715) 833-2131

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Christie Felix Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1760601736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER",
            "address_2": "SUITE 203",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014683",
            "telephone_number": "715-828-1611",
            "fax_number": "715-833-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER",
            "address_2": "SUITE 203",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014683",
            "telephone_number": "715-828-1611",
            "fax_number": "715-833-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CHRISTIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2375-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "FELIX",
            "prefix": "DR.",
            "credential": "PSY.D., L.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Adela Virginia Taylor, M. D.

• Clinical Psychologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.