Individual provider Active NPI

Dawn Erin Christensen, PSYD

  • Psychologist
  • Davenport, FL
National Provider Identifier
1841390382
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
847 Issued in NH
Practice address
410 Lake Davenport Cir
Davenport, FL 33837-7530
Phone
(603) 344-1819
Fax
(863) 353-6081
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 847 NH Primary

Addresses

Primary practice location

410 Lake Davenport Cir
Davenport, FL 33837-7530

Mailing address

PO Box 625
Davenport, FL 33836-0625
Phone (603) 344-1819

Other identifiers 2

IdentifierTypeStateIssuer
06Y008613NH01OtherNHNH BC/BS PROVIDER ID
30423735MedicaidNH

Other names 1

  • Dr. D. Erin Christensen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100218000855 FL Practitioner - Clinical Psychologist 2163445651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cotler Healthcare and Development IncGroup PAC ID 0143121145, 25 clinicians

Practice addresses (Care Compare)

901 S 62ND Ave
Hollywood, FL 33023-1848
Phone (954) 893-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
847NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince Jul 10, 2021 Accepting new patients

Locations

919 Old Winter Haven Rd
Auburndale, FL 33823
Phone (863) 967-4125

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

2225 Knox McRae Dr
Titusville, FL 32780
Phone (321) 267-0060

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1841390382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360625",
            "telephone_number": "603-344-1819",
            "fax_number": "863-353-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKE DAVENPORT CIR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377530",
            "telephone_number": "603-344-1819",
            "fax_number": "863-353-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DAWN",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH BC/BS PROVIDER ID",
            "identifier": "06Y008613NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423735",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D. ERIN",
            "last_name": "CHRISTENSEN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.