Anne Carpenter, PHD, PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013553 Issued in MI

Practice address

3408 Niles Rd
Saint Joseph, MI 49085-8628

Phone

(269) 429-3324

Fax

(269) 429-3323

NPI assigned

Jul 8, 2010

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

Enrolled in MI

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Anne Carptener PHD PLC

  • Counseling Psychologist
  • Saint Joseph, MI
  • NPI 1760016976

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1275845166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858628",
            "telephone_number": "269-408-6119",
            "fax_number": "269-429-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858628",
            "telephone_number": "269-429-3324",
            "fax_number": "269-429-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ANNE",
        "credential": "PHD, PLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care MGT Solutions Services LLC
• Care Source, Inc
• Carelinc Medical Equipment & Supply Co LLC
• Anne Louise Carlson, PT
• Carols Hope
• James Michael Carpentier, DC
• Clayton T Cashen, O.D.
• Amy A Cassidy
• Melissa J Cassidy, MA CCC-SLP
• Anthony Castelvecchi

• All providers in Saint Joseph, MI
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.