Active NPI
Carol Ann Cody, PHD
- Clinical Psychologist
- Largo, FL
National Provider Identifier
1336101393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3817
- Practice address
- 7431 114TH Ave
Suite 104
Largo, FL 33773-5119 - Phone
- (800) 632-6074
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01306 | MO | |
| Clinical Psychologist | 103TC0700X | 3817 | NC | Primary |
Addresses
Primary practice location
7431 114TH Ave
Suite 104
Largo, FL 33773-5119
Mailing address
1025 Quail Cir
Salisbury, NC 28147-8856
Phone (704) 647-0867
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001207 | Medicaid | NC | |
| 01306 | Other | MO | STATE LICENSE |
| 3817 | Other | NC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01306 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1336101393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 QUAIL CIR",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281478856",
"telephone_number": "704-647-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7431 114TH AVE",
"address_2": "SUITE 104",
"city": "LARGO",
"state": "FL",
"postal_code": "337735119",
"telephone_number": "800-632-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "01306",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001207",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "01306",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3817",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.