DR. CONNOR J TINDALL PSYD
NPI 1033697156
Psychologist in Berkeley, CA

Active since July 31, 2018PECOS Enrolled
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709(510) 768-8181 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Jul 31, 2018 (2 updates tracked since 2018).

About Dr. Connor J Tindall Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONNOR J TINDALL PSYD (NPI 1033697156) is an individual psychologist in Berkeley, California, licensed in California (PSY34653) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033697156
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CONNOR J TINDALLCredential: PSYD
Location Address1749 MARTIN LUTHER KING JR WAYBerkeley, CA 94709-2139
Mailing Address1749 Martin Luther King Jr WayBerkeley, CA 94709-2139 · (510) 768-8181
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 31, 2018
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1033697156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY34653
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1749 MARTIN LUTHER KING JR WAY, Berkeley, CA 94709

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Connor J Tindall Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618311028
PECOS Enrollment IDI20240213004286
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Psychiatry & Neurology (Psychiatry)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Psychiatry & Neurology (Psychiatry)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Tindall's NPI number?

The NPI number for Connor Tindall is 1033697156. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Connor Tindall located?

Connor Tindall practices at 1749 Martin Luther King Jr Way, Berkeley, CA 94709. The listed phone number is (510) 768-8181.

What is Connor Tindall's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Connor Tindall enrolled in Medicare?

Yes. Connor Tindall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Tindall was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.