Active NPI
Christine Knecht Church, PH.D. LP
- Psychologist
- Maplewood, MN
National Provider Identifier
1902930837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3484
- Practice address
- 2721 Upper Afton Rd E
Suite 101
Maplewood, MN 55119-4760 - Phone
- (651) 739-6167
- Fax
- (651) 739-6167
- NPI assigned
- Mar 15, 2007
- 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 | LP3484 | MN | Primary |
Addresses
Primary practice location
2721 Upper Afton Rd E
Suite 101
Maplewood, MN 55119-4760
Mailing address
2721 Upper Afton Rd E Ste 101
Birbilis and Associates
Maplewood, MN 55119-4760
Phone (651) 739-6167
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3484 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birbilis and Associates, P.a. | Psychologist | Past | Accepting new patients |
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": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902930837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 UPPER AFTON RD E STE 101",
"address_2": "BIRBILIS AND ASSOCIATES",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551194760",
"telephone_number": "651-739-6167",
"fax_number": "651-739-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 UPPER AFTON RD E",
"address_2": "SUITE 101",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551194760",
"telephone_number": "651-739-6167",
"fax_number": "651-739-6167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "CHRISTINE",
"middle_name": "KNECHT",
"name_prefix": "Dr.",
"credential": "PH.D. LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.