Individual provider Active NPI

Christopher Paul Contardo, PHD

  • Clinical Neuropsychologist
  • Saint Joseph, MI
National Provider Identifier
1245559798
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301015377 Issued in MI
Practice address
2500 Niles Rd Ste 5
Saint Joseph, MI 49085-3225
Phone
(692) 810-4082
Fax
(269) 281-0465
NPI assigned
May 24, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Connecticut School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axon Psychology Group, PC 4 clinicians

Practice addresses (Care Compare)

2500 Niles Rd
Suite 7
Saint Joseph, MI 49085-3268
Phone (269) 281-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130425000272 MI Practitioner - Clinical Psychologist 9739213489 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6682OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Axon Psychology Group, PC Clinical Neuropsychologist CurrentSince Sep 1, 2020 Accepting new patients
Psychiatric and Psychological Specialties Clinical PastSince May 14, 2023 Accepting new patients
Innovative Senior Care Home Health of Holland LLC PastSince Dec 13, 2020 Accepting new patients

Locations

2500 Niles Rd
Ste 7
Saint Joseph, MI 49085
Phone (269) 281-0407

2500 Niles Rd
Ste 5
Saint Joseph, MI 49085
Phone (269) 281-0408

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301015377 MI
Clinical Neuropsychologist 103G00000X 6301015377 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

2500 Niles Rd Ste 5
Saint Joseph, MI 49085-3225

Mailing address

2500 Niles Rd Ste 5
Saint Joseph, MI 49085-3225
Phone (692) 810-4082

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2020.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1245559798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NILES RD STE 5",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853225",
            "telephone_number": "692-810-4082",
            "fax_number": "269-281-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NILES RD STE 5",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853225",
            "telephone_number": "692-810-4082",
            "fax_number": "269-281-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTARDO",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015377",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301015377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.