Organization Active NPI

Deborah L. Carle, PH.D., LLC

  • Clinical Psychologist
  • Leawood, KS
National Provider Identifier
1508262999
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
961 Issued in KS
Legal business name
DEBORAH L. CARLE, PH.D., LLC
Practice address
11111 Nall Ave
Site 224
Leawood, KS 66211-1924
Phone
(913) 549-4390
Fax
(913) 549-4392
NPI assigned
Nov 12, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Deborah L. Carle, PH.D.NPI 1043254543
Title
Licensed Psychologist
Phone
(913) 549-4390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 961 KS Primary

Addresses

Primary practice location

11111 Nall Ave
Site 224
Leawood, KS 66211-1924

Mailing address

11111 Nall Ave
Site 224
Leawood, KS 66211-1924
Phone (913) 549-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229001754 KS Part B Supplier - Clinic/Group Practice 0840513727 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Locations

11111 Nall Ave
Ste 224
Leawood, KS 66211
Phone (913) 549-4390

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1508262999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE",
            "address_2": "SITE 224",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111924",
            "telephone_number": "913-549-4390",
            "fax_number": "913-549-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE",
            "address_2": "SITE 224",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111924",
            "telephone_number": "913-549-4390",
            "fax_number": "913-549-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L. CARLE, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "CARLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-549-4390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.