Individual provider Active NPI

Jennifer Colleene McCarroll, PH.D., M.P

  • Prescribing (Medical) Psychologist
  • New Orleans, LA
National Provider Identifier
1194847970
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
323932 Issued in LA
Practice address
1050 S Norman C Francis Pkwy Ste 314a
New Orleans, LA 70125-1234
Phone
(504) 500-1720
Fax
(866) 606-9343
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X 323932 LA Primary
Psychologist 103T00000X 015469 NY

Addresses

Primary practice location

1050 S Norman C Francis Pkwy Ste 314a
New Orleans, LA 70125-1234

Mailing address

1050 S Norman C Francis Pkwy Ste 314a
New Orleans, LA 70125-1234
Phone (504) 500-1720

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
323932LAMDPrescribing (Medical) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1194847970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S NORMAN C FRANCIS PKWY STE 314A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251234",
            "telephone_number": "504-500-1720",
            "fax_number": "866-606-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S NORMAN C FRANCIS PKWY STE 314A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251234",
            "telephone_number": "504-500-1720",
            "fax_number": "866-606-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARROLL",
        "first_name": "JENNIFER",
        "middle_name": "COLLEENE",
        "credential": "PH.D., M.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "323932",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.