Victor Bryan Carlson, PSYD LCADC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

37LC00080400 Issued in NJ

Practice address

288 Newton Sparta Rd
Newton, NJ 07860

Phone

(973) 229-4209

NPI assigned

Jan 23, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Psychological Associates,LLC

  • Clinical Psychologist
  • Newton, NJ
  • NPI 1225189673
  NPD (past)
• The Helping Door, Inc.

  dba The Door

  • Mental Health Counselor
  • Milford, PA
  • NPI 1871920538
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639223720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SMITH RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-328-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "973-229-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "VICTOR",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PSYD LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00304300",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00080400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capitol Care, Inc.
• Capitol Care, Inc.
• Cardiology Associates of Sussex County, LLP
• Cardiology Medical Associates of Northwest NJ
• Care DJQ LLC (Home Helpers Home Care of Sussex County)
• Nathan Abernathy Carroll, DO, MBA, MPH
• Bruno J Casatelli, DPM
• Barbara J Case, COTA
• Carol F Casserly, M.A., CCC-SLP
• Center for Family Services, Inc.

• Addiction (Substance Use Disorder) Psychologist in Newton, NJ
• Providers in Newton, NJ by specialty
• Addiction (Substance Use Disorder) Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.