Carissa Laura Gaden, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

L745441 Issued in MI

Practice address

27941 Harper Ave Ste 102
Saint Clair Shores, MI 48081-1535

Phone

(586) 772-9390

Fax

(586) 772-9390

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Carissa Gaden, PH.D., P.C.

  • Psychologist
  • Saint Clair Shores, MI
  • NPI 1982820957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1306927603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVE STE 102",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "586-772-9390",
            "fax_number": "586-772-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVE STE 102",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "586-772-9390",
            "fax_number": "586-772-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADEN",
        "first_name": "CARISSA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "L745441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Fuga, DC
• Kathleen M Fulgenzi, MD
• Janice M Fuller
• Halee Fustini
• G. Dino Tolias,D.D.S. P.C. (Gentle Dentist-Smile Spa)
• Santana Gaines
• Aaron T Gale
• Molly Gallaway, D.O.
• Don Thaddeus Galvin III, LMSW
• Christine Gannon, OTR

• Clinical Psychologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.