Carroll Clinical Consulting PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CARROLL CLINICAL CONSULTING PLLC

Practice address

81 Medical Center Dr
Ste 1300
Brunswick, ME 04011-2764

Phone

(207) 844-8752

Fax

(207) 221-1308

NPI assigned

Sep 25, 2014

Last updated

May 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew W Carroll, MD

Title

Sole Proprieter

Phone

(207) 844-8752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1588066203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR",
            "address_2": "STE 1300",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112764",
            "telephone_number": "207-844-8752",
            "fax_number": "207-221-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR",
            "address_2": "STE 1300",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112764",
            "telephone_number": "207-844-8752",
            "fax_number": "207-221-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL CLINICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "207-844-8752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Christine Caracci, PSY.D
• Amanda Cardella, D.O.
• Robert Paul Carnicella, PH.D.
• Suzanne Carr, MD
• Megan Taylor Carrier, CRNA
• Sheila Casale, RN
• Casco Bay Dental
• Lisa M Cash, LCSW
• Deborah J Casterlin, P.T.
• Jorie W Catlin, PMHNP

• Internal Medicine Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.