Carolyn Nora Roll, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2241 Issued in WA

Practice address

5413 Meridian Ave N
Suite a
Seattle, WA 98103-6168

Phone

(206) 545-7500

Fax

(206) 632-4767

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Seattle Psychologists, PS

  • Clinical Psychologist
  • Seattle, WA
  • NPI 1326189507
  NPD (past) Authorized official
• Sammamish Valley Psychological Services, P.S.

  • Psychologist
  • Redmond, WA
  • NPI 1154404028
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255472536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 MERIDIAN AVE N",
            "address_2": "SUITE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036168",
            "telephone_number": "206-545-7500",
            "fax_number": "206-632-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 MERIDIAN AVE N",
            "address_2": "SUITE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036168",
            "telephone_number": "206-545-7500",
            "fax_number": "206-632-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLL",
        "first_name": "CAROLYN",
        "middle_name": "NORA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia Innes Rolfe, ARNP
• Alma Maria Rolfs, MSW, LICSW, PTR
• Michelle Lynn Rolfs, LAC, EAMP, LMT
• Jessalyn Roling, LBA
• Alice Roll, RN
• Mika Rollin, MS, LBA, BCBA
• Maria Rollins, PA-C
• Brienne Roloff-Chiang, D.D.S., M.S.D.
• Patricia L Rolstad, ARNP
• Myrna A Romack, RPH

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.