Individual provider Active NPI

Carol Ann Munschauer, PH.D.

  • Psychoanalysis Psychologist
  • Amherst, NY
National Provider Identifier
1235467515
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
8015 Issued in NY
Practice address
605 Lebrun Rd
Amherst, NY 14226-4232
Phone
(716) 835-8288
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X 8015 NY Primary

Addresses

Primary practice location

605 Lebrun Rd
Amherst, NY 14226-4232

Mailing address

605 Lebrun Rd
Amherst, NY 14226-4232
Phone (716) 835-8288

Other identifiers 1

IdentifierTypeStateIssuer
000500424001OtherNYBLUE CROSS BLUE SHIELD

Other names 1

  • Carol Ann Pearson 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
8015NYMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1235467515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 LEBRUN RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264232",
            "telephone_number": "716-835-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LEBRUN RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264232",
            "telephone_number": "716-835-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSCHAUER",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "8015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000500424001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "PEARSON",
            "middle_name": "ANN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.