Christie Salamone Anderson, PH.D.
Individual provider Active NPI Psychologist · Columbus, GA
NPI 1972880185 · NPPES record last updated Nov 16, 2011
Key facts
- NPI
- 1972880185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY003510 (GA)
- Practice address
- 2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500 - Phone
- (706) 653-6841
- Fax
- (706) 653-7843
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbus Psychological Associates, LLP
Practice addresses (Care Compare)
2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500
Phone (706) 653-6841
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121030000473 | GA | Practitioner - Clinical Psychologist | 0244480192 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003510 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Psychological Associates, LLP | Psychologist | Current |
Accepting new patients |
| Personal Recovery Network LLC | Current |
Accepting new patients | |
| Columbus Psychological Assoc. | Past |
Accepting new patients |
Locations
820 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 653-2889
3238 University Ave
Columbus, GA 31907
Phone (706) 563-1714
2325 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 653-6841
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003510 | GA | Yes |
Addresses
Primary practice location
2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500
Mailing address
2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500
Phone (706) 653-6841
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.