Active NPI
Erik Tootell, MFT, PHD
- Clinical Psychologist
- Woodland, CA
National Provider Identifier
1083748305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21367
- Practice address
- 285 Court St.
Ste. 202
Woodland, CA 95695-2077 - Phone
- (530) 848-1544
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT 30975 | CA | |
| Clinical Psychologist | 103TC0700X | 21367 | CA | Primary |
Addresses
Primary practice location
285 Court St.
Ste. 202
Woodland, CA 95695-2077
Mailing address
220 California St.
#18
Woodland, CA 95695-2958
Phone (530) 848-1544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 30975 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1083748305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CALIFORNIA ST.",
"address_2": "#18",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956952958",
"telephone_number": "530-848-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 COURT ST.",
"address_2": "STE. 202",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956952077",
"telephone_number": "530-848-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOTELL",
"first_name": "ERIK",
"name_prefix": "Dr.",
"credential": "MFT, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT 30975",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "21367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.