CHRISTOPHER R CARLSON (NPI# 1497854418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497854418 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER R CARLSON |
| Credential | PH.D. |
| Practice Address |
567 Vauxhall Street Ext Ste 315 Waterford CT 06385-4330 |
| Practice Telephone | 8604472442 |
| Mailing Telephone | 8604472442 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001655 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568617801 | Christopher M Carlson | Rehabilitation Practitioner | 330 E. Live Oak Ave., Arcadia, CA 91006 | 2008-12-01 |
| 1427061902 | Christopher Ryan Carlson | Physical Therapist | 75-5699 Kopiko St, Kailua Kona, HI 96740-3651 | 2006-08-14 |
| 1710979489 | Christopher A. Carlson | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2005-08-18 |
| 1144220526 | Christopher R Carlson | Physician Assistant | 4824 E Baseline Rd, Suite 113, Mesa, AZ 85206-4676 | 2005-07-28 |
| 1417457706 | Christopher Lee Carlson | Behavior Technician | 8555 Aero Dr Ste 201, San Diego, CA 92123-1745 | 2018-02-13 |
| 1427419654 | Christopher S Carlson | Dentist | 1959 Ne Pacific Street; Box 357134, University of Washington Department of Oral Surgery, Seattle, WA 98195 | 2016-03-16 |
| 1043684822 | Christopher Carlson | Nurse Practitioner | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2015-11-17 |
| 1124411269 | Christopher Carlson | Physician Assistant | 601 Elmwood Ave, 619-hmd, Rochester, NY 14642-0001 | 2015-03-13 |
| 1053613174 | Christopher Kenneth Carlson | Student in an Organized Health Care Education/Training Program | 30 S 2000 E, Salt Lake City, UT 84112-5820 | 2010-11-22 |
| 1093964892 | Christopher Carlson | Social Worker | 152 Lynnway Ste 2c, Lynn, MA 01902 | 2008-09-17 |
| Street Address |
567 VAUXHALL STREET EXT STE 315 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568404820 | Advanced Options, LLC | Social Worker | 567 Vauxhall Street Ext, Suite 314, Waterford, CT 06385-4330 | 2006-06-12 |
| 1780206425 | Jeanette Ann Kenney | Counselor | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2020-05-16 |
| 1861850356 | Heather Hoagland | Social Worker | 567 Vauxhall Street Ext, Suite 207, Waterford, CT 06385-4330 | 2016-01-29 |
| 1225426059 | Cyndia Shook | Social Worker | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2015-01-01 |
| 1619303047 | Edda Mcmanus Lcsw LLC | Social Worker | 567 Vauxhall Street Ext, Suite 314, Waterford, CT 06385-4330 | 2013-09-17 |
| 1043580137 | Katie Worley | Marriage & Family Therapist | 567 Vauxhall Street Ext, Suite #207, Waterford, CT 06385-4330 | 2012-01-05 |
| 1871829804 | Edda H Mcmanus | Social Worker | 567 Vauxhall Street Ext, Ste 314, Waterford, CT 06385-4330 | 2009-10-27 |
| 1760645238 | Deborah A Morgan | Counselor | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2008-07-05 |
| 1316107543 | Optometric Associates,p.c | Optometrist | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2008-06-11 |
| 1053597732 | Samuel Schaperow | Marriage & Family Therapist | 567 Vauxhall Street Ext, Suite 207, Waterford, CT 06385-4330 | 2008-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1083015499 | Lifelens Psychological and Counseling Services | Psychologist | 4000 W Walton Blvd, Suite B, Waterford, MI 48329-4191 | 2014-09-05 |
| 1154655272 | Robert Ryan Flewelling | Psychologist | 247 Holmur Dr, Waterford, MI 48327-3621 | 2009-09-22 |
| 1184874760 | Michelle Sanborn | Psychologist | 709 Cedarlawn Rd, Waterford, MI 48328-4009 | 2008-09-19 |
| 1396870135 | Melissa Beth Oleshansky | Psychologist | 1473 Kessler Ave, Waterford, MI 48328-4754 | 2007-02-22 |
| 1972644607 | Lyn Peyton | Psychologist | 4388 Sedum Gln, Peyton & Davenport, Inc, Waterford, MI 48328-1151 | 2007-02-08 |
| 1982797577 | Cristina Dominijanni | Psychologist | 567 Vauxhall Street Extension, Suite 314, Waterford, CT 06385 | 2006-10-02 |
| 1497868921 | Charles Silow | Psychologist | 5143 Cass Elizabeth Rd, Waterford, MI 48327-3224 | 2006-08-17 |
| 1881617512 | John P Quarton | Psychologist | 4052 S Shore St, Waterford, MI 48328-1270 | 2006-07-25 |
| 1295775500 | Catherine L. Herzog | Psychologist | 1370 N Oakland, Suite 100a, Waterford, MI 48327-4525 | 2006-06-07 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.