Individual provider Active NPI

Carolyn D Murphy, PHD

  • Clinical Psychologist
  • Palmetto, FL
National Provider Identifier
1194164053
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9573 Issued in FL
Practice address
210 15TH Ave W
Palmetto, FL 34221-4432
Phone
(571) 310-1399
NPI assigned
Jun 24, 2013
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9573 FL
Psychologist 103T00000X 0810-006073 VA
Clinical Psychologist 103TC0700X 0810-006073 VA
Clinical Psychologist 103TC0700X PY9573 FL Primary
School Psychologist 103TS0200X NU

Addresses

Primary practice location

210 15TH Ave W
Palmetto, FL 34221-4432

Mailing address

520 7TH St W Unit 1802
Palmetto, FL 34220-7073
Phone (571) 310-1399

Other practice location 1

13101 Bruce B Downs Blvd
Tampa, FL 33612-3803
Phone (813) 974-0601

Other names 1

  • Carolyn D Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY9573FLMDPsychologist
0810-006073VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1194164053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 7TH ST W UNIT 1802",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342207073",
            "telephone_number": "571-310-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 15TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214432",
            "telephone_number": "571-310-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123803",
            "country_code": "US",
            "telephone_number": "813-974-0601",
            "fax_number": "813-558-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CAROLYN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9573",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810-006073",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810-006073",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9573",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "ADAMS",
            "middle_name": "D",
            "credential": "SSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.