Individual provider Active NPI

Thomas Cariveau, PHD

  • Psychologist
  • Wilmington, NC
National Provider Identifier
1407367840
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5215 Issued in NC
Practice address
720 Saint James Dr
Wilmington, NC 28403-2937
Phone
(910) 660-8200
Fax
(910) 660-8199
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-21039 NC
Psychologist 103T00000X 5215 NC Primary

Addresses

Primary practice location

720 Saint James Dr
Wilmington, NC 28403-2937

Mailing address

720 Saint James Dr
Wilmington, NC 28403-2937

Other names 1

  • Dr. Tom Cariveau Other name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5215NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Behavioral Health Behavior Analyst Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1407367840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SAINT JAMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JAMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032937",
            "telephone_number": "910-660-8200",
            "fax_number": "910-660-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIVEAU",
        "first_name": "THOMAS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-15-21039",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "CARIVEAU",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.