DAVID CARROLL (NPI# 1205913290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205913290 |
| Entity Type | Individual |
| Full Name | DAVID CARROLL |
| Credential | PSYD, LP |
| Practice Address |
1751 Tower Dr W Ste 200 Stillwater MN 55082-7596 |
| Mailing Address |
588 101st Ave N Naples FL 34108-3201 |
| Practice Telephone | 6514392059 |
| Practice Fax Number | 8886758262 |
| Mailing Telephone | 6514392059 |
| Mailing Fax Number | 8886758262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2633 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1205913290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| 1487024352 | David Carroll | Physical Therapist | 2113 Hagen Ln, Flossmoor, IL 60422-1617 | 2015-10-04 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1205140134 | David Carroll | Social Worker | 100 A Haverhill Street, St. Ann's Home, Methuen, MA 01844 | 2010-08-03 |
| 1801054069 | David Carroll | Dentist | 15801 Biscayne Blvd, 200, Aventura, FL 33160-4601 | 2008-05-23 |
| 1558434449 | David Orry Carroll | Counselor | 1529 Edie Ct, Santa Maria, CA 93454-4810 | 2006-11-16 |
| 1992353718 | David Jesse Carroll | Counselor | 1012 Odnr Mohican 51, Perrysville, OH 44864-9407 | 2019-08-27 |
| 1356900054 | David Carroll | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-06-07 |
| 1154985679 | David John Carroll | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2019-04-30 |
| 1487004156 | David Scott Carroll | Pharmacist | 11290 Donner Pass Rd, Truckee, CA 96161-4808 | 2016-06-14 |
| Street Address |
1751 TOWER DR W STE 200 |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-7596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194738732 | William L. Rush | Psychologist | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2006-08-14 |
| 1437625126 | Lindsay Puente | Counselor | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2018-10-19 |
| 1578005161 | Lindsay Gades | Counselor | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2016-11-14 |
| 1326403619 | Teresa S Riley | Marriage & Family Therapist | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2015-12-31 |
| 1740601921 | Rachel Parkin | Social Worker | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2013-12-14 |
| 1760702146 | Jennifer Ann Kunkel Schertz | Counselor | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2010-06-08 |
| 1114257417 | Carissa Elizabeth Stepan | Psychologist | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2010-01-08 |
| 1104159847 | Lambers B Fisher Jr. | Marriage & Family Therapist | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2009-09-14 |
| 1760686703 | Lindith M Fortin-case | Social Worker | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2007-06-13 |
| 1801942040 | Rush Inc | Psychologist | 1751 Tower Dr W Ste 200, Stillwater, MN 55082-7596 | 2007-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790191252 | Jenna Wieden | Psychologist | 333 Main St N Ste 110, Stillwater, MN 55082-5054 | 2014-07-05 |
| 1861653750 | Kim Marie Gleich | Psychologist | 14949 62nd St N, Stillwater, MN 55082-6132 | 2008-06-23 |
| 1982817805 | Jane Louise Anglin | Psychologist | 6381 Osgood Ave N # C, Stillwater, MN 55082-6118 | 2007-05-07 |
| 1447301908 | Mary G Freitag | Psychologist | 10480 Perkins Ave N, Stillwater, MN 55082-9273 | 2007-01-12 |
| 1598820367 | Donae Verbena Gustafson | Psychologist | 6120 Oren Ave N, Stillwater, MN 55082-6155 | 2006-12-22 |
| 1376628164 | Bonnie Joy Scott | Psychologist | 215 W Mcelroy Rd, Suite 1, Stillwater, OK 74075-3537 | 2006-10-27 |
| 1952416638 | Camille Mary Kulka | Psychologist | 333 Main St N Ste 205, Stillwater, MN 55082-5054 | 2006-08-20 |
| 1609886407 | Patrick Edward Shields | Psychologist | 1940 Greeley St S, 202a, Stillwater, MN 55082-5097 | 2006-08-08 |
| 1316954746 | Lawrence Benjamin Fulgenzi | Psychologist | 6414 E 19th Ave, Stillwater, OK 74074-8472 | 2006-08-01 |
| 1669495453 | Barbara Walker | Psychologist | 375 Orleans St E, Stillwater, MN 55082-5830 | 2006-07-25 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on DAVID CARROLL.
| 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.