Active NPI
Carl L Payne, M.S.ED.
- Clinical Psychologist
- Danville, PA
National Provider Identifier
1609836337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS002610L
- Practice address
- 516 Mill St
Suite A2
Danville, PA 17821-1041 - Phone
- (570) 271-0966
- Fax
- (570) 271-1995
- NPI assigned
- Mar 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS002610L | PA | Primary |
Addresses
Primary practice location
516 Mill St
Suite A2
Danville, PA 17821-1041
Mailing address
516 Mill St
Suite A2
Danville, PA 17821-1041
Phone (570) 271-0966
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002610L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609836337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 MILL ST",
"address_2": "SUITE A2",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178211041",
"telephone_number": "570-271-0966",
"fax_number": "570-271-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 MILL ST",
"address_2": "SUITE A2",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178211041",
"telephone_number": "570-271-0966",
"fax_number": "570-271-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "CARL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "M.S.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS002610L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.