Steven Howell Carter, PSYD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 3083 Issued in MN

Practice address

10 Crater Lake Ave Ste 18
Medford, OR 97504-7445

Phone

(541) 244-2643

Fax

(541) 248-6254

NPI assigned

Oct 5, 2006

Reactivated

Mar 31, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarity Behavioral Medicine LLC

  • Clinical Psychologist
  • Medford, OR
  • NPI 1093235459
  Authorized official Same address or phone
• NHS Northstar, Inc.

  • Community/Behavioral Health Agency
  • Chisholm, MN
  • NPI 1114227345
  NPD (past)
• Range Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia, MN
  • NPI 1457452823
  NPD (past)
• Range Mental Health Center Inc

  dba Wellstone Center for Recovery

  • Mental Illness Community Based Residential Treatment Facility
  • Virginia, MN
  • NPI 1770872491
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1629164561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DARLINGTON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012892",
            "telephone_number": "218-248-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CRATER LAKE AVE STE 18",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047445",
            "telephone_number": "541-244-2643",
            "fax_number": "541-248-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "STEVEN",
        "middle_name": "HOWELL",
        "name_prefix": "Dr.",
        "credential": "PSYD LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "deactivation_date": "2021-01-20",
        "reactivation_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 3083",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 3083",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "LP 3083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608723000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Adell Carson, THW
• Justin Donald Carson, PT
• Lauralyn Brooke Carter-Meletich, DO
• Jennifer George-Ann Carter, RPH
• Melissa Anne Carter, RDLD
• Leslie Cartner, RDH
• Deana Carvalho
• Jeff Carwithen, R.PH.
• Cascade Family Practice, LLC
• Brianna Case

• Clinical Psychologist in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.