Christine A Pallas, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024488 Issued in NY

Practice address

108 Maple St
Rome, NY 13440-3439

Phone

(315) 886-6527

NPI assigned

Feb 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1780339713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAPLE ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403439",
            "telephone_number": "315-886-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAPLE ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403439",
            "telephone_number": "315-886-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAS",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Lynn Ouderkirk, RN
• Tammy Ann Owen, OTR/L
• Kerry Ann Pagotto, RPH.
• Lawrence J. Palinski, FNP-C
• Jami Palladino, LCSW-R
• Kathleen Grabo Pallay, FNP
• Margaret Haney Palmer, R.N.
• Ming-Jer J Pan, M.D.
• Rosella Pandolfo
• Regina F Panzone, OD

• Clinical Psychologist in Rome, NY
• Providers in Rome, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.