Victor Joseph Carbone, ED D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5097 Issued in MA

Practice address

1188 Parker St
Ste 1
Springfield, MA 01129-1042

Phone

(413) 782-7777

Fax

(413) 426-9600

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447277959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 PARKER ST",
            "address_2": "STE 1",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291042",
            "telephone_number": "413-782-7777",
            "fax_number": "413-426-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 PARKER ST",
            "address_2": "STE 1",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291042",
            "telephone_number": "413-782-7777",
            "fax_number": "413-426-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "VICTOR",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "ED D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520667",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMISYT HMO BLUE",
            "identifier": "107826",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CAW04795",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Mole Capuano, PTA
• Lynneurie Caraballo Luccioni
• Jennifer Caraballo, NP
• Erica E Carbonaro, CRNA
• Kevin Carbone, R.P.T.
• Lisa M Carbonell Correa, MA
• Cameron Michael Card, CNP
• Amanda Nugent Cardaropoli
• Christian Carde-Guzman
• John F. Cardella, MD

• Clinical Psychologist in Springfield, MA
• Providers in Springfield, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.