Individual provider Active NPI

Leonard A Carlino, PH.D.

  • Clinical Psychologist
  • Furlong, PA
National Provider Identifier
1205979713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS001034 Issued in PA
Practice address
3100 Cloverly Dr
Furlong, PA 18925-1229
Phone
(215) 348-7332
Fax
(215) 348-7332
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS001034 PA Primary

Addresses

Primary practice location

3100 Cloverly Dr
Furlong, PA 18925-1229

Mailing address

3100 Cloverly Dr
Furlong, PA 18925-1229
Phone (215) 348-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100802000044 PA Practitioner - Clinical Psychologist 2163555814 Practice locations: Furlong, PA; Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 Cloverly Dr
Furlong, PA 18925-1229
Phone (215) 348-7332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS001034PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205979713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CLOVERLY DR",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251229",
            "telephone_number": "215-348-7332",
            "fax_number": "215-348-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CLOVERLY DR",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251229",
            "telephone_number": "215-348-7332",
            "fax_number": "215-348-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLINO",
        "first_name": "LEONARD",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS001034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Furlong, PA

Sources for this page

Verify at the official NPI Registry.