Active NPI
Lena Caroselli, R. EEG T
- EEG Technician
- Collegeville, PA
National Provider Identifier
1215279914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Technician
- License
- 3158
- Practice address
- 2 Stable CT
Collegeville, PA 19426-4410 - Phone
- (610) 324-0454
- Fax
- (484) 902-0445
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | 3158 | PA | Primary |
Addresses
Primary practice location
2 Stable CT
Collegeville, PA 19426-4410
Mailing address
2 Stable Court
Collegeville, PA 19426
Phone (610) 324-0454
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3158 | PA | MD | EEG Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Healthcare Services LLC | Eeg | 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": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1215279914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 STABLE COURT",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "19426",
"telephone_number": "610-324-0454",
"fax_number": "484-902-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 STABLE CT",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194264410",
"telephone_number": "610-324-0454",
"fax_number": "484-902-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROSELLI",
"first_name": "LENA",
"credential": "R. EEG T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": "PA",
"license": "3158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.