Dennis Christoffersen, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1985057 Issued in WI

Practice address

437 S Yellowstone Drive
Suite #218
Madison, WI 53719

Phone

(608) 288-1882

Fax

(608) 288-1892

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Child & Family Psychological Services Clinic

  • Clinical Psychologist
  • Madison, WI
  • NPI 1528238417
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881716447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S YELLOWSTONE DRIVE",
            "address_2": "SUITE #218",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-288-1882",
            "fax_number": "608-288-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S YELLOWSTONE DRIVE",
            "address_2": "SUITE #218",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-288-1882",
            "fax_number": "608-288-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOFFERSEN",
        "first_name": "DENNIS",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1985057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39120000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill M. Christie, PA-C
• Nichole Ann Christie, MSW
• Christina Escuder PSYD LLC
• Christine Costanzo M.D. LLC
• Alex David Christl
• Ella Nicole Irwin Christoph, MD
• Michael Christopher, M.D.
• Richard Carl Christopherson
• Sarah Chrostowski
• Terryann Chrudimsky, LDN

• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.