Roland A Carlstedt, PH.D. LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015948 Issued in NY

Practice address

675 Academy St Apt 2E
New York, NY 10034-4204

Phone

(917) 680-3994

NPI assigned

Jan 31, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1144973173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 ACADEMY ST APT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344204",
            "telephone_number": "917-680-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ACADEMY ST APT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344204",
            "telephone_number": "917-680-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSTEDT",
        "first_name": "ROLAND",
        "middle_name": "A",
        "credential": "PH.D. LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Teresa Carlson, L.AC.
• Kelley Renea Carlson, MPT, OMPT
• Kelly E Carlson, LMSW
• Michelle Gerwin Carlson, M.D.
• Rose L Carlson
• Deborah Angela Carlucci
• Karen M Carlucci, LCSW
• Kate Carlucci, RN, APRN
• Philip Carlucci
• Carlyle Services, Inc.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.