Individual provider Active NPI

Christine Pacold, MD

  • Psychiatry Physician
  • Alma, MI
National Provider Identifier
1962728626
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27824 Issued in OK
Practice address
2025 W Cheesman Rd
Alma, MI 48801-9760
Phone
(989) 463-3451
Fax
(989) 463-1534
NPI assigned
Apr 20, 2010
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 27824 OK Primary

Addresses

Primary practice location

2025 W Cheesman Rd
Alma, MI 48801-9760

Mailing address

2025 W Cheesman Rd
Alma, MI 48801-9760
Phone (989) 463-3451

Other identifiers 2

IdentifierTypeStateIssuer
0B96028OtherMIBLUE CROSS BLUE SHEILD
1962728626MedicaidMI

Other names 1

  • Sister Maria Lin Pacold Other name

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 Medicine

State licenses

LicenseStateTypeSpecialty
27824OKMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: christine.pacold.1@12006.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1962728626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W CHEESMAN RD",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488019760",
            "telephone_number": "989-463-3451",
            "fax_number": "989-463-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W CHEESMAN RD",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488019760",
            "telephone_number": "989-463-3451",
            "fax_number": "989-463-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACOLD",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "27824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0B96028",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962728626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SISTER MARIA LIN",
            "last_name": "PACOLD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.