Active NPI
David Carroll
- Mental Health Counselor
- New Windsor, NY
National Provider Identifier
1003294802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006202
- Practice address
- 1124 Route 94 Ste 201
New Windsor, NY 12553-7258 - Phone
- (845) 458-4557
- Fax
- (845) 458-4559
- NPI assigned
- May 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006202 | NY | Primary |
Addresses
Primary practice location
1124 Route 94 Ste 201
New Windsor, NY 12553-7258
Mailing address
1124 Route 94 Ste 201
New Windsor, NY 12553-7258
Phone (845) 458-4557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006202 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Psychological & Developmental Services, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- New Windsor, NY
- NPI 1528349024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1003294802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 ROUTE 94 STE 201",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537258",
"telephone_number": "845-458-4557",
"fax_number": "845-458-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 ROUTE 94 STE 201",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537258",
"telephone_number": "845-458-4557",
"fax_number": "845-458-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.