DR. CHRISTINA BOISSEAU


Address: 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418
Phone: 3126955060

DR. CHRISTINA BOISSEAU (NPI# 1760806012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760806012
Entity Type Individual
Full Name DR. CHRISTINA BOISSEAU
Credential PHD
Practice Address 446 E Ontario St Ste 7-100
Chicago
IL 60611-4418
Mailing Address 446 E Ontario St # 7-100
Chicago
IL 60611-4418
Practice Telephone 3126955060
Practice Fax Number 3126955060
Enumeration Date 2014-02-06
Last Update Date 2019-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071009835 IL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PS01348 RI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
446 E Ontario St Ste 7-100, Chicago, IL 606114418 3126955060 3126955060
676 N Saint Clair St Ste 1000, Chicago, IL 606112976 3126958441

Office Location

Street Address 446 E ONTARIO ST STE 7-100
City CHICAGO
State IL
Zip Code 60611-4418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063645315 Evan Hayward Goulding Psychiatry & Neurology 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 2009-09-02
1306498142 Melissa-ann Mackie Clinical Neuropsychologist 446 E Ontario St Ste 7-100, Stone Insitute, Chicago, IL 60611-4418 2019-07-11
1730679838 Julia Novitski Psychologist 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 2018-05-14
1053846147 Erica Sieg Psychologist 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 2017-04-26
1245610500 Lauren Robinson Psychiatry & Neurology 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 2015-06-02
1275949489 Daniela Rakocevic Psychiatry & Neurology 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 2014-07-08
1265870349 Andrew David Carlo Psychiatry & Neurology 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 2013-06-11
1699000125 Tracy Fehrenbach Psychologist 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 2009-10-16

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1881293108 Haley Michelle Sims Psychologist 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 2020-10-19
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1053920512 Alyse Renae Bedell Psychologist 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 2020-07-30
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Competitor

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City CHICAGO
Zip Code 60611

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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