Bobby Carbage, MS, CRADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

906 Davis St
Evanston, IL 60201-3608

Phone

(847) 492-1778

NPI assigned

Feb 15, 2012

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

Master of Science

Practice roles

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.

• Dr. Britt Borden

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1114572963
  NPD (past)
• Peer Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Evanston, IL
  • NPI 1881730620
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1063785467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013608",
            "telephone_number": "847-492-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013608",
            "telephone_number": "847-492-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAGE",
        "first_name": "BOBBY",
        "name_prefix": "Mr.",
        "credential": "MS, CRADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail P Canning
• Joseph E Canzona, DDS, MD
• Michael S Caplan, MD
• Elysia Cappellucci, APN
• Alexandra C. Carani, APN-CRNA
• Cardiovascular Associates of Glenbrook & Evanston LLC
• Cardiovascular Associates of Glenbrook and Evanston
• Liliana Cardona, LPC
• Colleen Carey, M.S.W., L.C.S.W.
• Caring Hands Home Nursing Care, Inc

• Mental Health Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.