Active NPI
Andrew Carr, PHD
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1528389251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 28126
- Practice address
- 427 S Marengo Ave Ste 6
Pasadena, CA 91101-3134 - Phone
- (626) 325-8091
- Fax
- (626) 325-8091
- NPI assigned
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
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 Neuropsychologist | 103G00000X | |||
| Health Psychologist | 103TH0004X | |||
| Clinical Psychologist | 103TC0700X | 28126 | CA | Primary |
Addresses
Primary practice location
427 S Marengo Ave Ste 6
Pasadena, CA 91101-3134
Mailing address
PO Box 7063
Reno, NV 89510-7063
Phone (626) 325-8091
Other practice location 1
625 S Fair Oaks Ave Ste 325
Pasadena, CA 91105-2675
Phone (626) 535-9344
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 |
|---|---|---|---|
| 28126 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carr Services Prof Corp | Clinical Neuropsychologist | Current | Accepting new patients |
Interoperability endpoints
- andrewcarr@scnc.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1528389251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7063",
"city": "RENO",
"state": "NV",
"postal_code": "895107063",
"telephone_number": "626-325-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 S MARENGO AVE STE 6",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013134",
"telephone_number": "626-325-8091",
"fax_number": "626-325-8091"
}
],
"practiceLocations": [
{
"address_1": "625 S Fair Oaks Ave Ste 325",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911052675",
"country_code": "US",
"telephone_number": "626-535-9344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "28126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.