Individual provider Active NPI

Robin L Carosella, PSY. D.

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1295162949
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017459 Issued in PA
Practice address
1251 S Cedar Crest Blvd Ste 211D
Allentown, PA 18103-6214
Phone
(610) 432-5066
NPI assigned
Sep 26, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PS017459 PA Primary

Addresses

Primary practice location

1251 S Cedar Crest Blvd Ste 211D
Allentown, PA 18103-6214

Mailing address

1251 S Cedar Crest Blvd Ste 211D
Allentown, PA 18103-6214
Phone (610) 432-5066

Other practice location 1

825 Benner Rd
Allentown, PA 18104-3349
Phone (610) 217-1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20140228000077 PA Practitioner - Clinical Psychologist 0648400291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Integrative Psychotherapy PCGroup PAC ID 2264442979, 2 clinicians

Practice addresses (Care Compare)

1011 Brookside Rd
Suite 235
Allentown, PA 18106-9020
Phone (610) 432-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017459PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative Psychotherapy PC Clinical CurrentSince Oct 16, 2014 Accepting new patients

Locations

1011 Brookside Rd
Ste 235
Allentown, PA 18106
Phone (610) 432-5066

1251 S Cedar Crest Blvd
Ste 211D
Allentown, PA 18103
Phone (610) 432-5066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295162949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD STE 211D",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036214",
            "telephone_number": "610-432-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD STE 211D",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036214",
            "telephone_number": "610-432-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Benner Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181043349",
            "country_code": "US",
            "telephone_number": "610-217-1336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAROSELLA",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.