Joel Eric Ringdahl, PHD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12128 Issued in IL

Practice address

500C S Lewis LN
Carbondale, IL 62901-3448

Phone

(618) 453-8295

Fax

(618) 453-6386

NPI assigned

Jun 12, 2008

Last updated

Mar 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1427218585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500C S LEWIS LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013448",
            "telephone_number": "618-453-8295",
            "fax_number": "618-453-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500C S LEWIS LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013448",
            "telephone_number": "618-453-8295",
            "fax_number": "618-453-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGDAHL",
        "first_name": "JOEL",
        "middle_name": "ERIC",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "01017",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-12-12128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.