Individual provider Active NPI

Verna F. Christy, PSYD

  • Psychologist
  • Kenosha, WI
National Provider Identifier
1780769810
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2332-057 Issued in WI
Practice address
5017 Green Bay Rd Ste 130
Kenosha, WI 53144-1782
Phone
(262) 672-1334
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2332-057 WI Primary

Addresses

Primary practice location

5017 Green Bay Rd Ste 130
Kenosha, WI 53144-1782

Mailing address

6322 45TH St # 42
Kenosha, WI 53144-1729
Phone (262) 358-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050705000774 WI Practitioner - Clinical Psychologist 0143266791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychological Consultants IncGroup PAC ID 0648291401, 3 clinicians

Practice addresses (Care Compare)

5017 Green Bay Rd
Suite 130
Kenosha, WI 53144-1782
Phone (262) 672-1334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2332-057WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Consultants Inc Psychologist CurrentSince Oct 31, 2016 Accepting new patients

Locations

5017 Green Bay Rd
Ste 130
Kenosha, WI 53144
Phone (262) 671-1334

Organizations & group practices 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1780769810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 45TH ST # 42",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441729",
            "telephone_number": "262-358-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 GREEN BAY RD STE 130",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441782",
            "telephone_number": "262-672-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "VERNA",
        "middle_name": "F.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2332-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.