Individual provider Active NPI

Pamela Carrington, PH.D.

  • Psychologist
  • Rocky River, OH
National Provider Identifier
1336162270
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5168 Issued in OH
Practice address
2639 Wooster Rd
Rocky River, OH 44116-2911
Phone
(440) 895-0366
Fax
(440) 331-2692
NPI assigned
Jul 25, 2006
Last updated
Nov 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5168 OH Primary

Addresses

Primary practice location

2639 Wooster Rd
Rocky River, OH 44116-2911

Mailing address

2639 Wooster Rd
Rocky River, OH 44116-2911
Phone (440) 895-0366

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

LicenseStateTypeSpecialty
5168OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth a. de Luca,PH.D. & Associates, Inc. Psychologist PastSince Jun 13, 2012 Accepting new patients

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1336162270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 WOOSTER RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162911",
            "telephone_number": "440-895-0366",
            "fax_number": "440-331-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 WOOSTER RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162911",
            "telephone_number": "440-895-0366",
            "fax_number": "440-331-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; 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.