Individual provider Active NPI

Christopher M. Lindemann, PH.D.

  • Clinical Psychologist
  • Newport News, VA
National Provider Identifier
1124066519
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002973 Issued in VA
Practice address
732 Thimble Shoals Blvd Ste 705K
Newport News, VA 23606-4256
Phone
(757) 873-4744
Fax
(757) 873-6377
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810002973 VA Primary

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 705K
Newport News, VA 23606-4256

Mailing address

PO Box 12225
Newport News, VA 23612-2225
Phone (757) 873-4744

Other identifiers 1

IdentifierTypeStateIssuer
007714424MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000437 VA Practitioner - Clinical Psychologist 5092600817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

732 Thimble Shoals Blvd
Suite 705K
Newport News, VA 23606-4256
Phone (757) 873-4744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810002973VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Psychological Services PLC Clinical CurrentSince Jan 29, 2012 Accepting new patients

Locations

11835 Canon Blvd
Ste A104
Newport News, VA 23606
Phone (757) 873-4744

732 Thimble Shoals Blvd
Ste 705K
Newport News, VA 23606
Phone (757) 873-4744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1124066519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12225",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236122225",
            "telephone_number": "757-873-4744",
            "fax_number": "757-873-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 705K",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064256",
            "telephone_number": "757-873-4744",
            "fax_number": "757-873-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMANN",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007714424",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.