Active NPI
Corey Carr, M.D.
- Psychiatry Physician
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 57243
- Practice address
- 13950 W Capitol Dr
2ND FL
Brookfield, WI 53005-2441 - Phone
- (414) 874-6288
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 57243 | WI | Primary |
Addresses
Primary practice location
13950 W Capitol Dr
2ND FL
Brookfield, WI 53005-2441
Mailing address
400 W River Woods Pkwy
3Rd FL
Glendale, WI 53212-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5321 Via Marisol
Los Angeles, CA 90042-4883
Phone (323) 478-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Trustees of Columbia University in Department of Psychiatry | Psychiatry | Past | Accepting new patients |
| Ascension SE Wisconsin Hospital, Inc | Past | Accepting new patients |
Locations
11080 W Olympic Blvd
Fl 1
Los Angeles, CA 90064
Phone (310) 966-6610
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 474-6393
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Psychiatry Physician
- New York, NY
- NPI 1619911526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1295952307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W RIVER WOODS PKWY",
"address_2": "3RD FL",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13950 W CAPITOL DR",
"address_2": "2ND FL",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052441",
"telephone_number": "414-874-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "COREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "57243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.