Allen Connard Carter, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00671 Issued in GA

Practice address

600 W Peachtree St NW
Suite 1570
Atlanta, GA 30308-3607

Phone

(404) 874-9207

Fax

(404) 876-4262

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Allen C. Carter, PH.D, P.C.

  • Exclusive Provider Organization
  • Atlanta, GA
  • NPI 1154593317
  NPD (past) Authorized official
• Sandra Sims Patterson,PH.D.,P.C.

  • Clinical Child & Adolescent Psychologist
  • Atlanta, GA
  • NPI 1083766133
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609928753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W PEACHTREE ST NW",
            "address_2": "SUITE 1570",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083607",
            "telephone_number": "404-874-9207",
            "fax_number": "404-876-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PEACHTREE ST NW",
            "address_2": "SUITE 1570",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083607",
            "telephone_number": "404-874-9207",
            "fax_number": "404-876-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ALLEN",
        "middle_name": "CONNARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "00671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00209426A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Carson, MSW
• Tracy Andrea Carstarphen, NP
• Rhonda Teresa Cartagena, NP-C
• Wanda Carter-Calhoun, DHSC, MCHES
• Alexis Byrne Carter, MD
• Andrea Carter
• Angelica Carter
• Ashleigh Chevonne Ayame Carter, MS
• Brittany Hill Carter, PA-C
• Caletha Carter, MSN, APRN, PMHNP-BC

• All providers in Atlanta, GA
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.