Individual provider Active NPI

Carol Ann Howard, MA LIMITED LICENSE P

  • Psychologist
  • Portage, MI
National Provider Identifier
1467628479
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301007709 Issued in MI
Practice address
6100 Newport Road
Suite 222 John T Gallagher and Associates PLC
Portage, MI 49002-9235
Phone
(269) 324-1248
Fax
(269) 324-1263
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301007709 MI Primary

Addresses

Primary practice location

6100 Newport Road
Suite 222 John T Gallagher and Associates PLC
Portage, MI 49002-9235

Mailing address

6100 Newport Road
Suite 222 John T Gallagher and Associates PLC
Portage, MI 49002-9235
Phone (269) 324-1248

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301007709MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Unlimited Counseling Center, PLC PastSince Apr 1, 2018 Accepting new patients
John T. Gallagher and Associates, P.L.C. PastSince May 17, 2007 Accepting new patients

Organizations & group practices 2

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1467628479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 NEWPORT ROAD",
            "address_2": "SUITE 222 JOHN T GALLAGHER AND ASSOCIATES PLC",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029235",
            "telephone_number": "269-324-1248",
            "fax_number": "269-324-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 NEWPORT ROAD",
            "address_2": "SUITE 222 JOHN T GALLAGHER AND ASSOCIATES PLC",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029235",
            "telephone_number": "269-324-1248",
            "fax_number": "269-324-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA LIMITED LICENSE P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.