MR. TIMOTHY MARTIN CARROLL (NPI# 1285965616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285965616 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MARTIN CARROLL |
| Credential | CAS |
| Practice Address |
1127 S Patrick Dr Suite 24 Satellite Beach FL 32937-3939 |
| Practice Telephone | 3217731111 |
| Practice Fax Number | 3217731692 |
| Mailing Telephone | 3217731111 |
| Mailing Fax Number | 3217731692 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1205A | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694767 | Timothy Field Carroll | Student in an Organized Health Care Education/Training Program | 3435 Dickason Ave Apt 2616, Dallas, TX 75219-4987 | 2020-03-19 |
| 1770600694 | Timothy Carroll | Physical Therapy Assistant | Rr 2 Box 534, Comanche, OK 73529-9677 | 2007-03-24 |
| 1952468787 | Timothy Kennell Carroll | Psychologist | 4790 N Winners Cir Unit A, Palm Springs, CA 92264-5868 | 2007-01-02 |
| 1629173323 | Timothy Carroll | Dentist | 3h Taggart Dr, Nashua, NH 03060-5592 | 2006-09-14 |
| 1235751231 | Timothy Patrick Carroll | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-12 |
| 1902446248 | Timothy Martin Carroll | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2020-01-15 |
| 1639651243 | Timothy Carroll | Physical Therapy Assistant | 7540 N 19th Ave, Phoenix, AZ 85021-7967 | 2018-08-30 |
| 1477031870 | Timothy Ross Carroll | Physician Assistant | 1055 N 500 W Ste 121, Provo, UT 84604-3305 | 2018-07-30 |
| 1215334792 | Timothy Joel Carroll | Pharmacist | 45 Earhart Dr, Suite 110, Amherst, NY 14221-7809 | 2014-11-26 |
| 1891116141 | Timothy Carroll | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2014-01-03 |
| Street Address |
1127 S PATRICK DR SUITE 24 |
| City | SATELLITE BEACH |
| State | FL |
| Zip Code | 32937-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275692204 | Progressive Counseling Centers Inc | Counselor | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2006-12-06 |
| 1740608140 | David Decuir | Social Worker | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2014-04-02 |
| 1386950830 | Matias Rodriguez | Student in an Organized Health Care Education/Training Program | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2010-08-22 |
| 1427289727 | Catherine Oxley | Social Worker | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2009-08-04 |
| 1639379928 | Florida Psychological Specialists | Clinical Neuropsychologist | 1127 S Patrick Dr, Suite 1, Satellite Beach, FL 32937-3939 | 2007-07-24 |
| 1447301759 | Charles Stevens | Psychologist | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1316556616 | Hi 5 Aba Florida Franchise 4 Inc | Behavioral Analyst | 1125 Sr A1a, Suite 306, Satellite Beach, FL 32937 | 2020-07-23 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1861970782 | Lauren Ann Liston | Pharmacist | 1024 Florida A1a, #120, Satellite Beach, FL 32937 | 2018-08-02 |
| 1184007965 | David Schweibish | Podiatrist | 2020 Highway A1a Ste 101, Indian Harbour Beach, FL 32937 | 2015-06-30 |
| 1831588185 | Cynthia Heyne | Nurse Practitioner | 436 Aruba Ct, Satellite Beach, FL 32937 | 2015-01-09 |
| 1326451675 | Atlantis Urgent Care Inc | Non-Pharmacy Dispensing Site | 2254 Highway Aia, Indian Harbour Beach, FL 32937 | 2014-06-04 |
| 1730511668 | Jessica Lynn Bevins | Occupational Therapy Assistant | 2040 Florida Hwy A1a, Suite 203, Indian Harbour Beach, FL 32937 | 2013-08-02 |
| 1790120582 | Melissa Jean Hamilton | Speech-Language Pathologist | 484 Red Sail Way, Satellite Beach, FL 32937 | 2013-05-07 |
| 1255602637 | Sandra Birza | Pharmacist | 1098 Hwy A I A, Satellite Beach, FL 32937 | 2012-01-18 |
| Find all providers in zip 32937 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578074795 | Dreama L Briley | Counselor | 1227 S Patrick Dr Ste 108, Satellite Beach, FL 32937-3969 | 2017-10-15 |
| 1528451986 | Theresa Ann Lee | Counselor | 599 Sherwood Ave, Suite 110, Satellite Beach, FL 32937-3075 | 2015-03-10 |
| 1275692204 | Progressive Counseling Centers Inc | Counselor | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2006-12-06 |
| 1942819024 | Jerry Wayne Lawson Jr. | Counselor | 1363 Highway A1a, Satellite Beach, FL 32937-2407 | 2020-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554783 | Lee Sloan | Counselor | 2929 Sw 22nd Cir # 32b, Delray Beach, FL 33445-7890 | 2020-10-08 |
| 1982201133 | Agape Network, Inc. | Counselor | 17801 Nw 2nd Ave Ste 212, Miami Gardens, FL 33169-5029 | 2020-10-01 |
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1063029916 | Brandon L Argent | Counselor | 6443 Churchill Cir, Milton, FL 32583-4012 | 2020-09-24 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1659983609 | Mindful Ways To Wellness | Counselor | 735 Arlington Ave N Ste 209, St Petersburg, FL 33701-3653 | 2020-08-20 |
| 1699386326 | James Michael Hoy | Counselor | 1389 Hibiscus St, Clearwater, FL 33755-3406 | 2020-08-14 |
| 1134739337 | Lidia Alejandra Martinez | Counselor | 17250 Sw 192nd St, Miami, FL 33187-5101 | 2020-08-03 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1891303327 | Dara Maddox | Counselor | 1506 Seabreeze Ln, Melbourne, FL 32935-2030 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | SATELLITE BEACH |
| Zip Code | 32937 |
Please comment or provide details below to improve the information on MR. TIMOTHY MARTIN 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.