Judith Bamberger-Carroll, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

015245 Issued in NY

Practice address

1025 Crestwood Rd
Woodmere, NY 11598-1633

Phone

(516) 569-6828

Fax

(516) 569-6828

NPI assigned

Jul 18, 2005

Last updated

Aug 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zev Carroll MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Flushing, NY
  • NPI 1275620742
  NPD (past)
• Zev Carroll MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Hewlett, NY
  • NPI 1851484190
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1255330841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CRESTWOOD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981633",
            "telephone_number": "516-569-6828",
            "fax_number": "516-569-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 CRESTWOOD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981633",
            "telephone_number": "516-569-6828",
            "fax_number": "516-569-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBERGER-CARROLL",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "015245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atik Therapy LLC
• Sheera Axelrod
• B Baron Inc
• Rachelle Ann Baca
• Guidun Bai
• Makailie Barney
• Christina M Barone, LMSW
• Jennifer Paige Bassiur, D.D.S.
• Martin Bassiur, D.D.S.
• Darra Meredith Battino, DPT

• Clinical Neuropsychologist in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.