Active NPI
Christine Pickford, PH.D.
- Psychologist
- Boise, ID
National Provider Identifier
1952443640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 120
- Practice address
- 1104 N 18TH St
Boise, ID 83702-3321 - Phone
- (208) 342-3131
- NPI assigned
- Feb 12, 2007
- Last updated
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 120 | ID | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 120 | ID | |
| Psychologist | 103T00000X | 120 | ID | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 120 | ID | |
| Rehabilitation Psychologist | 103TR0400X | 120 | ID | |
| School Psychologist | 103TS0200X | 120 | ID |
Addresses
Primary practice location
1104 N 18TH St
Boise, ID 83702-3321
Mailing address
1104 N 18TH St
Boise, ID 83702-3321
Phone (208) 342-3131
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120 | ID | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1952443640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 N 18TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837023321",
"telephone_number": "208-342-3131",
"fax_number": "208-383-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 N 18TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837023321",
"telephone_number": "208-342-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKFORD",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "ID",
"license": "120",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "ID",
"license": "120",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "120",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "ID",
"license": "120",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "ID",
"license": "120",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "ID",
"license": "120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.