Healthcare Provider Details

I. General information

NPI: 1396080420
Provider Name (Legal Business Name): CHRISTI TRASK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2012
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 OLENTANGY RIVER RD FL 3
COLUMBUS OH
43214-3464
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-9600
  • Fax: 614-366-1215
Mailing address:
  • Phone: 614-293-9600
  • Fax: 614-366-1215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.08361
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.08361
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: