Carole Ann Demarco, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00002806 Issued in WA

Practice address

4700 Point Fosdick Dr NW
Suite 302
Gig Harbor, WA 98335-1706

Phone

(253) 851-3808

Fax

(253) 851-3188

NPI assigned

Nov 30, 2005

Last updated

Apr 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Gig Harbor Primary Care LLC

  • Primary Care Clinic/Center
  • Gig Harbor, WA
  • NPI 1447607478
  NPD (past)
• Northwest Psychological Services, Inc.

  • Clinical Psychologist
  • Gig Harbor, WA
  • NPI 1366786154
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1649254061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR NW",
            "address_2": "STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794",
            "telephone_number": "206-300-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW",
            "address_2": "SUITE 302",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-3808",
            "fax_number": "253-851-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "CAROLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Dean, MA
• Melanie Renee Dean, RD
• Debra M. Enneking DDS, Inc.
• Sean Deilgat
• Evelyn Dejesus, RN
• Glenda Dematty, LMHC
• Christin Diane Derig, AGPCNP
• Zona L Dering, RN
• Desiree Gaffney, Ma, LMHC, LLC
• Gabrielle Deucher

• Psychologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.