Individual provider Active NPI

Carolyn A Gioia, MA LCCC

  • Clinical Psychologist
  • Metuchen, NJ
National Provider Identifier
1366560708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
RH73964B Issued in FL
Practice address
136 Main St
Metuchen, NJ 08840
Phone
(732) 646-1800
Fax
(866) 206-9075
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X RH73964B FL Primary

Addresses

Primary practice location

136 Main St
Metuchen, NJ 08840

Mailing address

60 Charles St
Metuchen, NJ 08840
Phone (732) 494-1921

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RH73964BFLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366560708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHARLES ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "08840",
            "telephone_number": "732-494-1921",
            "fax_number": "732-494-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "08840",
            "telephone_number": "732-646-1800",
            "fax_number": "866-206-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOIA",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MA LCCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "RH73964B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.