Individual provider Active NPI

John P. Carbo, LMFT

  • Marriage & Family Therapist
  • Stonington, CT
National Provider Identifier
1649201021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000569 Issued in CT
Practice address
65 Alpha Ave
Stonington, CT 06378-1115
Phone
(860) 535-7210
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000569 CT Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

65 Alpha Ave
Stonington, CT 06378-1115

Mailing address

65 Alpha Avenue
Stonington, CT 06378-1115
Phone (860) 535-7210

Other identifiers 2

IdentifierTypeStateIssuer
976OtherMAMARRIAGE/FAMILY THERAPIST
000569OtherCTMARRIAGE/FAMILY THERAPIST

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

LicenseStateTypeSpecialty
000569CTMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649201021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ALPHA AVENUE",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781115",
            "telephone_number": "860-535-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ALPHA AVE",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781115",
            "telephone_number": "860-535-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBO",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000569",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE/FAMILY THERAPIST",
            "identifier": "976",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE/FAMILY THERAPIST",
            "identifier": "000569",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonington, CT

Sources for this page

  • 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.