Gary E Carrington, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6733 Issued in OH

Practice address

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5643

Phone

(216) 831-6611

Fax

(251) 456-8128

NPI assigned

Aug 14, 2007

Last updated

Feb 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbc.garycarrington@140094.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical

  Medicare reassignment NPD
• Psychmatters, LLC

  • Clinical Psychologist
  • South Euclid, OH
  • NPI 1407715758
  NPD Authorized official

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1164614103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 CLEVELAND HTS BLVD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441211659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 CHAGRIN BLVD",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225643",
            "telephone_number": "216-831-6611",
            "fax_number": "251-456-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "GARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E2705",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Carpenter, CRNA
• Olivia Carpenter, CSFA
• Sharon L Carpenter, PCC-S, LICDC
• Roland Mejares Carreon, DDS
• Ana Maria Carrillo, PH.D.
• Quinton Carrington
• Carson Family Dentistry LLC
• George Michael Carson, P.A.-C
• Alexander J Carter, PA-C
• Cassie Nicole Carter

• Clinical Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.