Individual provider Active NPI

Christopher Todd Denda, PSY.D.

  • Clinical Psychologist
  • Berrien Springs, MI
National Provider Identifier
1962670943
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013751 Issued in MI
Practice address
Counseling and Testing Ctr
Bell Hall, Suite 123, Andrews University
Berrien Springs, MI 49104-0130
Phone
(269) 471-3470
Fax
(269) 471-3417
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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 6301013751 MI Primary

Addresses

Primary practice location

Counseling and Testing Ctr
Bell Hall, Suite 123, Andrews University
Berrien Springs, MI 49104-0130

Mailing address

Counseling and Testing Ctr
Bell Hall, Suite 123, Andrews University
Berrien Springs, MI 49104-0130
Phone (269) 471-3470

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Specialties, PLC Clinical PastSince Nov 13, 2022 Accepting new patients
Psychiatric and Psychological Specialties Clinical PastSince May 14, 2023 Accepting new patients
Bridgman Psychological Partners PLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1962670943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COUNSELING AND TESTING CTR",
            "address_2": "BELL HALL, SUITE 123, ANDREWS UNIVERSITY",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491040130",
            "telephone_number": "269-471-3470",
            "fax_number": "269-471-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COUNSELING AND TESTING CTR",
            "address_2": "BELL HALL, SUITE 123, ANDREWS UNIVERSITY",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491040130",
            "telephone_number": "269-471-3470",
            "fax_number": "269-471-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENDA",
        "first_name": "CHRISTOPHER",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berrien Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.