Active NPI
Christopher K Tongue, PHD
- Counseling Psychologist
- Gresham, OR
National Provider Identifier
1750300281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0995
- Practice address
- 406 NE 4TH St
Gresham, OR 97030-7429 - Phone
- (503) 318-5568
- Fax
- (503) 674-9740
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0995 | OR | Primary |
Addresses
Primary practice location
406 NE 4TH St
Gresham, OR 97030-7429
Mailing address
406 NE 4TH St
Gresham, OR 97030-7429
Phone (503) 318-5568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182243 | Medicaid | OR |
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 |
|---|---|---|---|
| 0995 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1750300281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 NE 4TH ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307429",
"telephone_number": "503-318-5568",
"fax_number": "503-674-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 NE 4TH ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307429",
"telephone_number": "503-318-5568",
"fax_number": "503-674-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONGUE",
"first_name": "CHRISTOPHER",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OR",
"license": "0995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182243",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.