Active NPI
Christina Chantel Reed, M.A. PSY D
- Clinical Psychologist
- Petaluma, CA
National Provider Identifier
1992866552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- RPS2010017
- Practice address
- 111 Liberty St
Petaluma, CA 94952-2330 - Phone
- (650) 346-5962
- Fax
- (707) 773-7338
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | RPS2010017 | CA | Primary |
Addresses
Primary practice location
111 Liberty St
Petaluma, CA 94952-2330
Mailing address
111 Liberty St
Petaluma, CA 94952-2330
Phone (650) 346-5962
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPS2010017 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1992866552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LIBERTY ST",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522330",
"telephone_number": "650-346-5962",
"fax_number": "707-773-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LIBERTY ST",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522330",
"telephone_number": "650-346-5962",
"fax_number": "707-773-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "CHRISTINA",
"middle_name": "CHANTEL",
"name_prefix": "Dr.",
"credential": "M.A. PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "RPS2010017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.