DR. MICHAEL ANTHONY CAROLLO (NPI# 1306394184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306394184 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY CAROLLO |
| Credential | PSYD |
| Practice Address |
397 Bridge St Fl 7 Brooklyn NY 11201-5247 |
| Practice Telephone | 2127290354 |
| Mailing Telephone | 2127290354 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 023871 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
023871 | NY | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
023871 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15211 89th Ave Apt 222, Jamaica, NY 114323766 | 2127290354 | |
| 247 W 11th St # 102, New York, NY 100142212 | 2127290354 | |
| 247 W 11th St # 102, New York, NY 10014 | 6467871191 |
| Street Address |
397 BRIDGE ST FL 7 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970786 | Gabriel Brooks-harris | Registered Nurse | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2014-07-20 |
| 1811504012 | Naydine Johney | Psychologist | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2020-09-30 |
| 1427671437 | Alma Community Network | Community/Behavioral Health | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2020-05-26 |
| 1538781778 | Kylie Brandt | Counselor | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2020-05-11 |
| 1578192563 | Jessica Mishali | Social Worker | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2020-04-02 |
| 1255971842 | Jacqueline Tartell | Social Worker | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2020-01-10 |
| 1295110757 | Sacha Zilkha | Psychologist | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2015-07-27 |
| 1285011999 | Aaron S Breslow | Psychologist | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| 1497361349 | Ira Schwartz | Psychologist | 2350 Ocean Avenue, Apt. Phh, Brooklyn, NY 11229-3030 | 2020-09-16 |
| 1548873516 | James Delrey Grimaldi | Psychologist | 81 77th St, Brooklyn, NY 11209-2920 | 2020-08-28 |
| 1205445855 | Virtue Sankoh | Psychologist | 8 Vanderbilt Ave Apt 12a, Brooklyn, NY 11205-1226 | 2020-07-29 |
| 1053957662 | Rebecca Brodoff | Psychologist | 3692 Bedford Ave Ste P2, Brooklyn, NY 11229-1702 | 2019-11-19 |
| 1225671985 | Kenji Takeda | Psychologist | 68 35th St Unit 4, Brooklyn, NY 11232-2211 | 2019-10-24 |
| 1497397608 | Heidi Cox | Psychologist | 540 President St Fl 3, Brooklyn, NY 11215-1493 | 2019-10-09 |
| 1801352281 | Philip Jay Bender | Psychologist | 50 Ocean Pkwy Apt 6k, Brooklyn, NY 11218-1539 | 2019-02-11 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| Find all providers in BROOKLYN | ||||
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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.