Active NPI
Christopher C Tolsdorf, PH.D.
- Clinical Neuropsychologist
- Norwich, CT
National Provider Identifier
1205921541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 000795
- Practice address
- 12 Case St Ste 301
Norwich, CT 06360-2222 - Phone
- (860) 889-7274
- Fax
- (860) 889-2131
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 000795 | CT | Primary |
| Clinical Psychologist | 103TC0700X | 000795 | CT |
Addresses
Primary practice location
12 Case St Ste 301
Norwich, CT 06360-2222
Mailing address
12 Case St Ste 301
Norwich, CT 06360-2222
Phone (860) 889-7274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000795 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196553600000",
"number": "1205921541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CASE ST STE 301",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-889-7274",
"fax_number": "860-889-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CASE ST STE 301",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-889-7274",
"fax_number": "860-889-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLSDORF",
"first_name": "CHRISTOPHER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CT",
"license": "000795",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "000795",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.