Samuel Lee Carney, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SPE00000000000369 Issued in TN

Practice address

37 Executive Dr
Jackson, TN 38305-2310

Phone

(731) 426-1820

Fax

(731) 426-0675

NPI assigned

Nov 9, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1013218965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052310",
            "telephone_number": "731-426-1820",
            "fax_number": "731-426-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052310",
            "telephone_number": "731-426-1820",
            "fax_number": "731-426-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "SAMUEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "SPE00000000000369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Developmental Services Inc.
• Sheila Carlton, NURSE PRACTITIONER
• Adam Carlucci, M.S.
• Robert Bruce Carney III, DDS
• Robert Bruce Carney Jr., DDS
• Carol P. Lagrange, O.D., P.C.
• Nekayeh Pennington Carothers, FNP
• Janie Giles Carp, MS, ATR-BC
• Kristin D Carpenter
• Brenda Charlene Carr, FNP-C

• Mental Health Counselor in Jackson, TN
• Providers in Jackson, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.