Individual provider Active NPI

Margaret Ann Dicarlo, PH.D.

  • Clinical Neuropsychologist
  • East Providence, RI
National Provider Identifier
1407874878
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS00679 Issued in RI
Practice address
450 Veterans Memorial Pkwy
Ste 8B
East Providence, RI 02914-5315
Phone
(401) 456-2479
Fax
(401) 456-2399
NPI assigned
Jul 17, 2006
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS00679 RI Primary

Addresses

Primary practice location

450 Veterans Memorial Pkwy
Ste 8B
East Providence, RI 02914-5315

Mailing address

50 Maude St
Elmhurst 5TH Floor
Providence, RI 02908-4325
Phone (401) 456-2479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20051203000070 RI Practitioner - Clinical Psychologist 0941220206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychology Partners, IncGroup PAC ID 4981624244, 5 clinicians

Practice addresses (Care Compare)

450 Veterans Memorial Pkwy
Suite 8B
East Providence, RI 02914-5315
Phone (401) 529-4884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS00679RIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Jan 1, 2014 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jan 1, 2014 Accepting new patients
Prime Healthcare Services Landmark LLC Clinical Neuropsychologist CurrentSince Jan 1, 2014 Accepting new patients
Neuropsychology Partners, Inc Clinical Neuropsychologist CurrentSince Aug 1, 2005 Accepting new patients
Landmark Medical Center Clinical Neuropsychologist Past Accepting new patients

Locations

450 Veterans Memorial Pkwy
Ste 8B
East Providence, RI 02914
Phone (401) 529-4884

116 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 766-0800

50 Maude St
Fl 5
Providence, RI 02908
Phone (401) 456-2195

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1407874878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "address_2": "ELMHURST 5TH FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-456-2479",
            "fax_number": "401-456-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "address_2": "STE 8B",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145315",
            "telephone_number": "401-456-2479",
            "fax_number": "401-456-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS00679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.