Individual provider Active NPI

Carol Ford Arkin, PHD

  • Clinical Psychologist
  • Worthington, OH
National Provider Identifier
1275602864
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5395 Issued in OH
Practice address
7100 N High St
Suite 205
Worthington, OH 43085-2316
Phone
(614) 505-6938
Fax
(614) 505-6558
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5395 OH Primary

Addresses

Primary practice location

7100 N High St
Suite 205
Worthington, OH 43085-2316

Mailing address

7100 N High St
Suite 205
Worthington, OH 43085-2316
Phone (614) 505-6938

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
5395OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1275602864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 N HIGH ST",
            "address_2": "SUITE 205",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852316",
            "telephone_number": "614-505-6938",
            "fax_number": "614-505-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 N HIGH ST",
            "address_2": "SUITE 205",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852316",
            "telephone_number": "614-505-6938",
            "fax_number": "614-505-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD ARKIN",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.