Active NPI
Carol L Armstrong, PH.D., ABPN
- Clinical Neuropsychologist
- Philadelphia, PA
National Provider Identifier
1407879430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS004399L
- Practice address
- 100 N 20TH St
Philadelphia, PA 19103-1443 - Phone
- (215) 556-7242
- NPI assigned
- Jul 25, 2006
- Last updated
- Dec 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS004399L | PA | Primary |
| Pediatrics Physician | 208000000X | PS004399L | PA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | PS004399L | PA | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | PS004399L | PA |
Addresses
Primary practice location
100 N 20TH St
Philadelphia, PA 19103-1443
Mailing address
100 N 20TH St
Philadelphia, PA 19103-1443
Phone (215) 556-7242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001709644 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004399L | PA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Affiliates | Clinical Neuropsychologist | 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, 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": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1407879430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N 20TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031443",
"telephone_number": "215-556-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 20TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031443",
"telephone_number": "215-556-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "CAROL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D., ABPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS004399L",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "PS004399L",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "PA",
"license": "PS004399L",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "PA",
"license": "PS004399L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001709644",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.