Individual provider Active NPI

Christine M McMahon, PSY.D

  • Clinical Psychologist
  • Beaumont, CA
National Provider Identifier
1952321697
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14352 Issued in CA
Practice address
790 Beaumont Ave
#224
Beaumont, CA 92223-5900
Phone
(951) 845-9860
Fax
(951) 845-9148
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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 PSY14352 CA Primary

Addresses

Primary practice location

790 Beaumont Ave
#224
Beaumont, CA 92223-5900

Mailing address

790 Beaumont Ave
#224
Beaumont, CA 92223-5900
Phone (951) 845-9860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070611000238 CA Practitioner - Clinical Psychologist 5193823474 Practice locations: Beaumont, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

790 Beaumont Ave
Suite 224
Beaumont, CA 92223-5948
Phone (951) 845-9860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1952321697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 BEAUMONT AVE",
            "address_2": "#224",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235900",
            "telephone_number": "951-845-9860",
            "fax_number": "951-845-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 BEAUMONT AVE",
            "address_2": "#224",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235900",
            "telephone_number": "951-845-9860",
            "fax_number": "951-845-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

Verify at the official NPI Registry.