Christina Heather Rebholz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60454165 Issued in WA

Practice address

10512 NE 68TH St
Suite C-104
Kirkland, WA 98033-7002

Phone

(425) 606-1339

NPI assigned

Dec 27, 2014

Last updated

May 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1942698956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 BRACKEN PL SE",
            "address_2": "SUITE 200",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659235",
            "telephone_number": "425-292-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 NE 68TH ST",
            "address_2": "SUITE C-104",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337002",
            "telephone_number": "425-606-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHOLZ",
        "first_name": "CHRISTINA",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60454165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy L Records, WHNP
• Natasha Rector, LSWAIC

• Clinical Psychologist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.