Benjamin Huddell Carroll, PSYCHOLOGY BACHELORS

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

15 Anders Dr
Cherry Hill, NJ 08003-1001

Phone

(609) 313-4580

NPI assigned

May 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1063150951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANDERS DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031001",
            "telephone_number": "609-313-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANDERS DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031001",
            "telephone_number": "609-313-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "BENJAMIN",
        "middle_name": "HUDDELL",
        "credential": "PSYCHOLOGY BACHELORS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://encrypt.barracudanetworks.com/main",
            "affiliation": "N",
            "address_1": "15 Anders Dr",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080031001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie A Carr, OTR/L
• Lisa Carr, MSW, LSW
• Nicholas R Carrara, M.ED, BCBA
• Melissa Carrasco
• Tommi Amanda Ladd Carrell
• Bridget Anne Carroll
• Jeff Lynn Carroll, D.D.S.
• Robert M Carroll, D.M.D.
• Samantha Carroll, MA, LPC
• Maureen B. Carrozzino, DPT

• Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.