Jeremy Lamar Carter, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38118 Issued in TX

Practice address

904 E Henderson St
Cleburne, TX 76033

Phone

(817) 264-6194

NPI assigned

Sep 27, 2013

Last updated

May 15, 2019By the provider in NPPES

Sex

Male

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 TX

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deer Oaks Geriatric Services P C

  dba Deer Oaks Consultation Services

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  Medicare reassignment NPD
• Stonebridge Behavioral Health, P.a.

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1861528390
  Medicare reassignment NPD

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1356778070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 CATHERINE LN",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280307",
            "telephone_number": "817-412-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E HENDERSON ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-264-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEREMY",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Collin Burris Jr., DMD
• Jayden Paige Butler
• Jennifer Leanne Campbell, FNP
• Care for Women Cleburne
• Omar Carrizales
• Case Family Dental PLLC (Nolan River Dental Center)
• Deanna Jade Cason, F.N.P.
• Casper Trey Webb, D.O.,P.a.
• Lauran Castania, LPC, LCDC
• Stacey Lynn Catron-Romero

• Clinical Psychologist in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.