Carrolls Community Care

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CARROLLS COMMUNITY CARE

Practice address

523 Emerald Ave
El Cajon, CA 92020-5005

Phone

(619) 442-8893

Fax

(619) 442-6049

NPI assigned

Aug 6, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Nicol Furtado

Title

Administrator

Phone

(619) 442-8893

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor Olson, PSY.D.

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1972956373
  NPD (past)
• Mark Schindler, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1689664278
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437380516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 EMERALD AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-442-8893",
            "fax_number": "619-442-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 EMERALD AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205005",
            "telephone_number": "619-442-8893",
            "fax_number": "619-442-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLS COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FURTADO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NICOL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-442-8893"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Carrillo, LCSW
• Gisselle Carrillo
• Paula Angelina Carrillo
• Rebecca Ann Carroll, FNP
• Carrolls Community Care
• Brian Paul Carter
• Jonathan Carter
• Laura A. Carter, PHN
• Marilyn A Carter, OD
• Tammy Lynn Carter, M.A.

• Adult Mental Health Clinic/Center in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Adult Mental Health Clinic/Center in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.