Individual provider Active NPI

John W Ringwald, PH.D.

  • Clinical Psychologist
  • New Haven, CT
National Provider Identifier
1467501502
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000570 Issued in CT
Practice address
400 Prospect St
New Haven, CT 06511-2181
Phone
(203) 776-4910
NPI assigned
Jan 9, 2007
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 000570 CT Primary

Addresses

Primary practice location

400 Prospect St
New Haven, CT 06511-2181

Mailing address

400 Prospect St
New Haven, CT 06511-2181
Phone (203) 776-4910

Other identifiers 2

IdentifierTypeStateIssuer
060000570CT01OtherCTANTHEM BLUE CROSS
133621OtherCTHEALTH NET OF CT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20111216000640 CT Practitioner - Clinical Psychologist 6103091392 Practice locations: New Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Michigan Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 Prospect St
New Haven, CT 06511-2181
Phone (203) 776-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000570CTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1467501502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PROSPECT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112181",
            "telephone_number": "203-776-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PROSPECT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112181",
            "telephone_number": "203-776-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGWALD",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "060000570CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF CT",
            "identifier": "133621",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.