Individual provider Active NPI

Christine Sparacino, PSY.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1932464666
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4304 Issued in AZ
Practice address
8700 E Vista Bonita Dr Ste 116
Scottsdale, AZ 85255-4252
Phone
(480) 509-7737
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4304 AZ Primary

Addresses

Primary practice location

8700 E Vista Bonita Dr Ste 116
Scottsdale, AZ 85255-4252

Mailing address

8700 E Vista Bonita Dr Ste 116
Scottsdale, AZ 85255-4252
Phone (480) 509-7737

Other names 1

  • Dr. Christine Seeberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4304AZMDOrthopedic Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1932464666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 E VISTA BONITA DR STE 116",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554252",
            "telephone_number": "480-509-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E VISTA BONITA DR STE 116",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554252",
            "telephone_number": "480-509-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACINO",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SEEBERGER",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.