Joanne L Pedro Carroll, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0008444 Issued in NY

Practice address

2024 W Henrietta Rd Suite 5I
Brighton Campus Park
Rochester, NY 14623

Phone

(585) 292-0218

Fax

(585) 292-0219

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Joanne P Carroll Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235288697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD SUITE 5I",
            "address_2": "BRIGHTON CAMPUS PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-292-0218",
            "fax_number": "585-292-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD SUITE 5I",
            "address_2": "BRIGHTON CAMPUS PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-292-0218",
            "fax_number": "585-292-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRO CARROLL",
        "first_name": "JOANNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0008444",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "CARROLL",
            "middle_name": "P",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pediatric Plastic Surgery of the University of Rochester
• Pediatric Pulmonology
• Pediatric Radiology of the University of Rochester
• Pediatrics & Adolescent Medicine Group
• Pediatrics Hematolgy Onocology
• Jubril Tolani Pedro Jr., L.P.N/L.M.T
• Kimberly Pedrotti
• Angelo J Pedulla, MD
• Sara Marie Pedulla, NP
• Clara Peechatt, LMSW

• Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.