CHRISTOPHER R CARLSON (PH.D.) – Clinical Psychologist, NPI 1497854418

CHRISTOPHER R CARLSON (PH.D.) is a healthcare provider. based in Waterford, Connecticut. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 001655 (CT). The NPI Number for CHRISTOPHER R CARLSON (PH.D.) is 1497854418

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER R CARLSON (PH.D.)
NPI
1497854418
Phone
(860) 447-2442
Address
567 VAUXHALL STREET EXT
Enumeration Date
22 September 2006
Last Update Date
21 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1975 (51 years ago)
PAC ID
8729029632
Professional Enrollment ID
I20050520000008
Address ID
CT063551258MY1XXXXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

586 CLINICAL PSYCHOLOGIST in CT

Provider Addresses for CHRISTOPHER R CARLSON (PH.D.)

  • 567 VAUXHALL STREET EXT

    STE 315

    WATERFORD, CT 063854330

    Phone: (860) 447-2442

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050520000008IClinical PsychologistCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour21515$0
View full utilization report →

Insurance plans in this area (ZIP 06385)

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Reviews

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Frequently asked questions

Does CHRISTOPHER R CARLSON (PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHRISTOPHER R CARLSON (PH.D.) uses 1497854418.
Does the file indicate CHRISTOPHER R CARLSON (PH.D.) is practicing under active NPI?
Directory data currently reports CHRISTOPHER R CARLSON (PH.D.) as active.
What healthcare role does CHRISTOPHER R CARLSON (PH.D.) hold?
Scheduling teams often label CHRISTOPHER R CARLSON (PH.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for CHRISTOPHER R CARLSON (PH.D.)?
CHRISTOPHER R CARLSON (PH.D.)'s geographic hint is Waterford, Connecticut in our summary view.
Is the information about CHRISTOPHER R CARLSON (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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