Individual provider Active NPI

Erik Tootell, MFT, PHD

  • Clinical Psychologist
  • Woodland, CA
National Provider Identifier
1083748305
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21367 Issued in CA
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

Updated by the provider on Feb 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT 30975CAMDMental 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

Verify at the official NPI Registry.