Active NPI
Sara Marie Christianson, PHD
- Psychologist
- Minnetonka, MN
National Provider Identifier
1760749477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5476
- Practice address
- 11606 Wayzata Blvd
Minnetonka, MN 55305-2009 - Phone
- (952) 544-0349
- NPI assigned
- Apr 19, 2012
- Last updated
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5476 | MN | Primary |
Addresses
Primary practice location
11606 Wayzata Blvd
Minnetonka, MN 55305-2009
Mailing address
11606 Wayzata Boulevard
Minnetonka, MN 55305
Phone (952) 544-0349
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5476 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1760749477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11606 WAYZATA BOULEVARD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "952-544-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11606 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052009",
"telephone_number": "952-544-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "SARA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "5476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.