Individual provider Active NPI

Carol Graham Shekhar, PHD

  • Clinical Psychologist
  • Wilmington, DE
National Provider Identifier
1154476166
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0000719 Issued in DE
Practice address
6 Hilton Rd
Wilmington, DE 19810-4325
Phone
(302) 543-5755
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X B1-0000719 DE
Clinical Psychologist 103TC0700X PS015843 PA
Clinical Psychologist 103TC0700X B1-0000719 DE Primary

Addresses

Primary practice location

6 Hilton Rd
Wilmington, DE 19810-4325

Mailing address

6 Hilton Rd
Wilmington, DE 19810-4325
Phone (302) 543-5755

Other names 1

  • Dr. Carol M Graham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000932 DE Practitioner - Clinical Psychologist 2567485287 Practice locations: Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Hilton Rd
Wilmington, DE 19810-4325
Phone (302) 543-5755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B1-0000719DEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vericare of Pennsylvania, P.C. Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1154476166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HILTON RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104325",
            "telephone_number": "302-543-5755",
            "fax_number": "302-295-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HILTON RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104325",
            "telephone_number": "302-543-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKHAR",
        "first_name": "CAROL",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0000719",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015843",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GRAHAM",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.