Active NPI
Christine Raines, PH.D.
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1831590082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5527
- Practice address
- 1515 Mockingbird LN Ste 580
Charlotte, NC 28209-1171 - Phone
- (704) 910-8381
- Fax
- (704) 981-8282
- NPI assigned
- Sep 8, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.07607 | OH | |
| Clinical Psychologist | 103TC0700X | 5527 | NC | Primary |
Addresses
Primary practice location
1515 Mockingbird LN Ste 580
Charlotte, NC 28209-1171
Mailing address
1515 Mockingbird LN Ste 580
Charlotte, NC 28209-1171
Phone (704) 910-8381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 21, 2019 through Oct 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.07607 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Base, PLLC | Past | Accepting new patients | |
| Nationwide Children'S Hospital | Past | Accepting new patients |
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.
-
- Psychologist
- Charlotte, NC
- NPI 1265936108
-
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1447061262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1831590082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 MOCKINGBIRD LN STE 580",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282091171",
"telephone_number": "704-910-8381",
"fax_number": "704-981-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MOCKINGBIRD LN STE 580",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282091171",
"telephone_number": "704-910-8381",
"fax_number": "704-981-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.07607",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.