Carol A. Gantman, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS002422L Issued in PA

Practice address

29 Bala Ave
Suite 224
Bala Cynwyd, PA 19004-3209

Phone

(610) 667-7280

Fax

(610) 667-7141

NPI assigned

Jan 23, 2006

Sex

Female

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 PA

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

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407826431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BALA AVE",
            "address_2": "SUITE 224",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043209",
            "telephone_number": "610-667-7280",
            "fax_number": "610-667-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BALA AVE",
            "address_2": "SUITE 224",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043209",
            "telephone_number": "610-667-7280",
            "fax_number": "610-667-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTMAN",
        "first_name": "CAROL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002422L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Gallant
• Jill S. Galper, PT
• Parth Atul Gandhi
• Richard Ganley, PH.D.
• Kerry Rae Gansworth, BCBA
• Gregory David Garber, MSW
• Jeffrey G Garber, D.M.D., MBE, LLC
• Robert Garfield, MD
• Richard Martin Gash, MD
• Gastrointestinal Specialists Inc

• Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.