Jerome Silvio Caroselli, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

25789 Issued in TX

Practice address

3100 Timmons LN Ste 565
Houston, TX 77027-5952

Phone

(713) 893-7105

Fax

(713) 893-7145

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Memorial Hermann Health System

  dba TIRR Memorial Hermann

  • Rehabilitation Hospital
  • Houston, TX
  • NPI 1710985098
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386782803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TIMMONS LN STE 565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275952",
            "telephone_number": "713-893-7105",
            "fax_number": "713-893-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TIMMONS LN STE 565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275952",
            "telephone_number": "713-893-7105",
            "fax_number": "713-893-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Moursund St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303405",
            "country_code": "US",
            "telephone_number": "713-199-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAROSELLI",
        "first_name": "JEROME",
        "middle_name": "SILVIO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25789",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "25789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Surgical Associates, PLLC
• Carolyn Home Healthcare
• Carolyn's Home Health Staffing Service
• Caromon Incorporated (Wigs by Andre)
• Maurien Elise Caron Zanerippe, LPC
• Lakisha Carothers, RN
• Carousel Care Home Inc
• Carousel Care Home, Inc.
• Aubrey Carouthers
• Abram D Carpenter, LPCA

• Clinical Neuropsychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.