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JAMES K CHILDERSTON Ph.D., NPI 1205833449

Psychologist in HAGERSTOWN, MD

Last Updated on : Nov 20,2008

JAMES K CHILDERSTON Ph.D., NPI 1205833449

About JAMES K CHILDERSTON (NPI 1205833449)


JAMES K CHILDERSTON is a Psychologist provider in HAGERSTOWN, United States. His medical specialization is Psychologist with a focus in Clinical.

1205833449 is NPI number of JAMES K CHILDERSTON.

JAMES K CHILDERSTON's primary taxonomy code based on NPI Lookup is 103TC0700X with license number 2307. This taxonomy code refers to Psychologist.

JAMES K CHILDERSTON has more than 16 years of experience.

JAMES K CHILDERSTON current practice location address is 1146 OPAL CT, HAGERSTOWN, MD. JAMES K CHILDERSTON can be reached out via phone at 301-797-2110 and via fax at 301-797-2379 .

You can also correspond with JAMES K CHILDERSTON through mail at mailing address 1146 OPAL CT, HAGERSTOWN, MD, United States. Mailing address contact number is 301-797-2110.

The enumeration date of JAMES K CHILDERSTON is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.

1205833449 NPI Information

Basic NPI information of JAMES K CHILDERSTON (NPI 1205833449) is provided below.

Name JAMES K CHILDERSTON
National Provider Id (NPI) 1205833449
Entity Type Individual
Gender M
Credential Ph.D.
Practice Address 1146 OPAL CT,
HAGERSTOWN, MD, United States
Practice Telephone 301-797-2110
Practice Fax Number 301-797-2379
Mailing Address 1146 OPAL CT ,
HAGERSTOWN, MD, United States
Mailing Telephone 301-797-2110
Mailing Fax Number 301-797-2379
Enumeration Date 01-Jul-2005
Last Updated Date 20-Nov-2008

JAMES K CHILDERSTON (NPI 1205833449) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 103TC0700X Psychologist, Clinical 2307 MD

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

JAMES K CHILDERSTON (NPI 1205833449) Secondary Taxonomy Information

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.

Primary Taxonomy Code Clasification License Number License State
N 103TC1900X Psychologist, Counseling 02307 MD
N 103T00000X Psychologist 02307 MD
N 103TC2200X Psychologist, Clinical Child & Adolescent 02307 MD

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
G017JK MEDICARE ID-Type Unspecified (04) MD

JAMES K CHILDERSTON (NPI 1205833449) Office Location

Office location of JAMES K CHILDERSTON is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1285612341 JAMES L HARPER Optometrist 50 N PERRY ST,
HAGERSTOWN, IN, United States
08-Jan-2006
1245380153 BRUCE ALAN RUETER Physical Therapist 12697 SWOVELAND RD,
HAGERSTOWN, IN, United States
11-Jan-2007
1427199611 MICHELLE C. SIEGMAN Audiologist 115 E MAIN ST, SUITE 3
HAGERSTOWN, IN, United States
09-Feb-2007
1437471539 MATHEW MATANICH Specialist/Technologist, Athletic Trainer 198 W NORTHMARKET ST,
HAGERSTOWN, IN, United States
17-Feb-2010
1578608121 WILLIAM P CORNILS Dentist PO BOX 188, 449 E MAIN STREET
HAGERSTOWN, IN, United States
21-Feb-2007
1295870855 ASHLEY R CORNILS GOLLIHER Dentist PO BOX 188, 449 E MAIN STREET
HAGERSTOWN, IN, United States
21-Feb-2007
1992720890 CLIFF S. WRIGHT Chiropractor 49 E MAIN ST,
HAGERSTOWN, IN, United States
12-Jul-2006
1366894594 GUARDIAN HOME CARE, INC Home Health 37 E MAIN ST,
HAGERSTOWN, IN, United States
12-Jul-2016
1629097704 GRAY FUNERAL HOME INC Ambulance 51 SOUTH WASHINGTON STREET,
HAGERSTOWN, IN, United States
19-Jul-2006
1245586700 REID PHYSICIAN ASSOCIATES, INC Clinic/Center, Rural Health 4829 N STATE ROAD 1,
HAGERSTOWN, IN, United States
01-Aug-2012
1144451527 TAYLOR GRANT WALDEN Optometrist 50 N PERRY ST,
HAGERSTOWN, IN, United States
03-Aug-2009
1871826610 ELIZABETH JANE MOORE Nurse Practitioner, Psych/Mental Health 410 NORTH 10TH STREET,
RICHMOND, IN, United States
11-Sep-2009
1306170345 HAGERSTOWN FAMILY DENTISTRY Clinic/Center, Dental 49 W WALNUT ST,
HAGERSTOWN, IN, United States
23-Sep-2009
1508948373 SUSAN B. JULIAN Nurse Practitioner, Family 61 E MAIN ST, PO BOX 205
HAGERSTOWN, IN, United States
20-Oct-2006
1447337530 HCMH DIVERSIFIED MANAGEMENT CORPORATION Pharmacy 25 WEST MAIN ST,
HAGERSTOWN, IN, United States
01-Nov-2006
1316343817 CYNTHIA KELLY Occupational Therapy Assistant 6698 LACY RD,
HAGERSTOWN, IN, United States
10-Nov-2014
1124458765 ERIN ALEXIS SHADLE Counselor, Mental Health 10544 DALTON RD,
HAGERSTOWN, IN, United States
18-Nov-2013
1285709022 JAMES B GERNI Chiropractor 449 E MAIN ST STE 201,
HAGERSTOWN, IN, United States
21-Nov-2006
1912075045 MARTHA B. BOWMAN Counselor, Mental Health PO BOX 204,
MOORELAND, IN, United States
30-Nov-2006
1073816252 CULBERSON AMBULANCE SERVICE, INC. Ambulance 51 S WASHINGTON ST,
HAGERSTOWN, IN, United States
10-Dec-2010

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1205833449?

1205833449 is the NPI number of JAMES K CHILDERSTON.

What is the specialty for JAMES K CHILDERSTON?

The Specialty of JAMES K CHILDERSTON is Psychologist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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