KELLIE CHRISTENSON M.D. NPI 1194068106

NPI Information

  • NPI: 1194068106
  • Provider Name: KELLIE CHRISTENSON, M.D.
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: STONY BROOK UNIVERSITY HOSPITAL: PEDIATRICS
    HSC T-11 / 040
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 444-2020

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NPI Details

Kellie Christenson, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Stony Brook, NY. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Kellie Christenson, M.D. NPI is 1194068106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

STONY BROOK UNIVERSITY HOSPITAL: PEDIATRICS
HSC T-11 / 040
STONY BROOK, NY
ZIP 11794-111
Phone: (631) 444-2020
Fax: (631) 444-2894

The NPI 1194068106 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 6/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology283190NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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