Active NPI
Carolyn M Magnero, PHD
- Clinical Psychologist
- Haddonfield, NJ
National Provider Identifier
1477600443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100495100
- Practice address
- 859 Edge Park Dr
Haddonfield, NJ 08033-1021 - Phone
- (917) 842-4223
- Fax
- (856) 795-1680
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012798 | NY | |
| Clinical Psychologist | 103TC0700X | PS017027 | PA | |
| Clinical Psychologist | 103TC0700X | 35S100495100 | NJ | Primary |
Addresses
Primary practice location
859 Edge Park Dr
Haddonfield, NJ 08033-1021
Mailing address
859 Edge Park Dr
Haddonfield, NJ 08033-1021
Phone (856) 795-1680
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454055 | Other | VALUE OPTIONS | |
| P1035277 | Other | OXFORD HEALTH PLAN | |
| 01733242 | Medicaid | NY |
Other names 1
- Dr. Carolyn M Carbone
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 |
|---|---|---|---|
| 35S100495100 | NJ | MD | Clinical Psychologist |
| PS017027 | PA | MD | Clinical Psychologist |
| 012798 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1477600443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 EDGE PARK DR",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080331021",
"telephone_number": "856-795-1680",
"fax_number": "856-795-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 EDGE PARK DR",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080331021",
"telephone_number": "917-842-4223",
"fax_number": "856-795-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNERO",
"first_name": "CAROLYN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012798",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017027",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100495100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "454055",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P1035277",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01733242",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "CARBONE",
"middle_name": "M",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Haddonfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.