CARROLL PSYCHPHARMACOLOGY, LLC (NPI# 1487299863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487299863 |
| Entity Type | Organization |
| Organization Name | CARROLL PSYCHPHARMACOLOGY, LLC |
| Practice Address |
4 S Spooner St Plymouth MA 02360-4447 |
| Mailing Address |
Po Box 4118 Plymouth MA 02361-4118 |
| Practice Telephone | 6175443571 |
| Practice Fax Number | 6172063804 |
| Mailing Telephone | 5082596691 |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |
| Authorized Official Name | ANNE OPRE CARROLL (OWNER) |
| Authorized Official Telephone | 6175443671 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4 S SPOONER ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831384502 | Amy Christine Anderson | Social Worker | 4 S Spooner St, Plymouth, MA 02360-4447 | 2007-09-06 |
| 1104191501 | Carol Soldevilla | Counselor | 4 S Spooner St, Plymouth, MA 02360-4447 | 2012-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154984623 | Monarch Behavioral Health Pllc | Clinic/Center | 9800 Shelard Pkwy Ste 115, Plymouth, MN 55441-6411 | 2019-04-19 |
| 1487145546 | African American Child Wellness Institute | Clinic/Center | 9800 Shelard Pkwy Ste 325, Plymouth, MN 55441-6453 | 2018-05-24 |
| 1063923043 | Jtcounselingservices | Clinic/Center | 5060 Holly Ln N Unit 4, Plymouth, MN 55446-1763 | 2017-10-18 |
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1104354406 | Willow Bay Therapy, LLC | Clinic/Center | 12805 Highway 55 Ste 216, Plymouth, MN 55441-3859 | 2017-05-31 |
| 1124687660 | Mjm Counseling Pllc | Clinic/Center | 340 N Main St, Plymouth, MI 48170-1249 | 2019-06-09 |
| 1750852570 | Tyler Pollack Incorporated | Clinic/Center | 595 Forest Ave, Plymouth, MI 48170-1775 | 2018-12-06 |
| 1265911945 | Anne Krcatovich, Ma, LLP, LLC | Clinic/Center | 164 N Main St, Plymouth, MI 48170-1236 | 2018-08-13 |
| 1679070635 | Sw Counseling Services LLC | Clinic/Center | 340 N Main St Ste 201, Plymouth, MI 48170-1290 | 2018-04-06 |
| 1316306418 | Nicole Reynolds Psyd LLC | Clinic/Center | 158 N Main St, Plymouth, MI 48170-1236 | 2016-02-17 |
| Find all providers in PLYMOUTH | ||||
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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.