Carlton Lee Quarells, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1850 Lake Park Dr SE Ste 106
Smyrna, GA 30080-7642

Phone

(770) 403-3124

Fax

(770) 739-7659

NPI assigned

Aug 19, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Carlton Lee Quarells Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Quarells Consulting, P.C.

  • Clinical Psychologist
  • Smyrna, GA
  • NPI 1386801454
  Authorized official Same address or phone

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285749655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAKE PARK DR SE STE 106",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807642",
            "telephone_number": "770-403-3124",
            "fax_number": "770-739-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LAKE PARK DR SE STE 106",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807642",
            "telephone_number": "770-403-3124",
            "fax_number": "770-739-7659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3188 Atlanta Road",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "30080",
            "country_code": "US",
            "telephone_number": "770-319-6000",
            "fax_number": "770-319-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUARELLS",
        "first_name": "CARLTON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935426H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLTON",
            "last_name": "QUARELLS",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PSYD.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.