Individual provider Active NPI

Andrew Robert Carman, PH.D.

  • Clinical Psychologist
  • Santa Cruz, CA
National Provider Identifier
1629184197
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7445 Issued in CA
Practice address
550 Water St
Ste F2
Santa Cruz, CA 95060-4131
Phone
(831) 429-7429
Fax
(831) 458-2482
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7445 CA Primary

Addresses

Primary practice location

550 Water St
Ste F2
Santa Cruz, CA 95060-4131

Mailing address

550 Water St
Ste F2
Santa Cruz, CA 95060-4131
Phone (831) 429-7429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000708 CA Practitioner - Clinical Psychologist 3870750516 Practice locations: Santa Cruz, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Water St
Suite F2
Santa Cruz, CA 95060-4131
Phone (831) 429-7429

7146 Danko Dr
Aptos, CA 95003-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7445CAMDClinical Psychologist
7445CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1629184197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST",
            "address_2": "STE F2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604131",
            "telephone_number": "831-429-7429",
            "fax_number": "831-458-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST",
            "address_2": "STE F2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604131",
            "telephone_number": "831-429-7429",
            "fax_number": "831-458-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAN",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.