Active NPI
Christine Marie Dungan, M.A.
- Art Therapist
- Petaluma, CA
National Provider Identifier
1912115346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 7 Summit Way
Petaluma, CA 94952-2449 - Phone
- (707) 322-7045
- NPI assigned
- May 18, 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
7 Summit Way
Petaluma, CA 94952-2449
Mailing address
7 Summit Way
Petaluma, CA 94952-2449
Phone (707) 322-7045
Other names 1
- Tina Dungan
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)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912115346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SUMMIT WAY",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522449",
"telephone_number": "707-322-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SUMMIT WAY",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522449",
"telephone_number": "707-322-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNGAN",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "DUNGAN",
"credential": "M.A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Petaluma, CA
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.